Express Food & Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE009977 Issued in GA

Legal business name

EXPRESS FOOD & PHARMACY LLC

Doing business as

Express Food & Pharmacy

Practice address

50 Upper Alabama St SW Ste 92
Atlanta, GA 30303-3105

Phone

(404) 818-0075

Fax

(404) 818-0077

NPI assigned

Nov 12, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ketan Trivedi

Title

Pharmacist

Phone

(678) 205-7038

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Express Food & Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Tax ID family

Express Food Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Express Food & Pharmacy LLC

  • Long Term Care Pharmacy
  • Atlanta, GA
  • NPI 1770115339
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aisha Gigani, PHARMACIST

  • Pharmacist
  • Atlanta, GA
  • NPI 1437805249
  NPD
• Linda E Davis, PHARMD

  • Pharmacist
  • Atlanta, GA
  • NPI 1225684186
  NPD (past)
• Beau Joshua Martinez

  • Pharmacist
  • Atlanta, GA
  • NPI 1598306144
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1275963209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 UPPER ALABAMA ST SW STE 92",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033105",
            "telephone_number": "404-818-0075",
            "fax_number": "404-818-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 UPPER ALABAMA ST SW STE 92",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033105",
            "telephone_number": "404-818-0075",
            "fax_number": "404-818-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS FOOD & PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "TRIVEDI",
        "authorized_official_first_name": "KETAN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "678-205-7038"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009977",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2142948",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003144768A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Food & Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Expect Great Things LLC
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• Express Food & Pharmacy Investment LLC
• Express Food & Pharmacy LLC
• Express GYN, P.C.
• Express Health Center Inc.
• Express Health Clinic
• Express Yourself Speech Pathology Services, LLC

• Community/Retail Pharmacy in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.