Organization Active NPI

Kenwood Pharmacy Inc

  • Community/Retail Pharmacy
  • Fayetteville, GA
National Provider Identifier
1285649822
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
KENWOOD PHARMACY INC
Practice address
101 Kenwood Rd
Ste 28
Fayetteville, GA 30214-3459
Phone
(770) 460-1065
Fax
(770) 460-1066
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Lorren Bartholomew
Title
General MGR
Phone
(770) 231-1616

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHRE009020 GA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

101 Kenwood Rd
Ste 28
Fayetteville, GA 30214-3459

Mailing address

101 Kenwood Rd
Ste 28
Fayetteville, GA 30214-3459

Other identifiers 1

IdentifierTypeStateIssuer
1154359OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory

Locations

101 Kenwood Rd
Ste 28
Fayetteville, GA 30214
Phone (770) 460-1065

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1285649822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 KENWOOD RD",
            "address_2": "STE 28",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302143459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 KENWOOD RD",
            "address_2": "STE 28",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302143459",
            "telephone_number": "770-460-1065",
            "fax_number": "770-460-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENWOOD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BARTHOLOMEW",
        "authorized_official_first_name": "LORREN",
        "authorized_official_title_or_position": "GENERAL MGR",
        "authorized_official_telephone_number": "770-231-1616"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE009020",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1154359",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.