Eden Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

EDEN PHARMACY LLC

Practice address

1634 Jonesboro Rd SE
Atlanta, GA 30315-5260

Phone

(404) 941-7644

Fax

(404) 941-7843

NPI assigned

Mar 19, 2019

Organization subpart

No

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

Authorized official

Name

Akshay PatelNPI 1730944901

Title

Pharmacist, Member

Phone

(404) 941-7644

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Practitioners 1

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

• Akshay Patel, PHARMD

  • Pharmacist
  • Atlanta, GA
  • NPI 1730944901
  NPD Authorized official

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1295294239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 PEACHTREE INDUSTRIAL BLVD UNIT 1644",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300245214",
            "telephone_number": "404-941-7644",
            "fax_number": "404-941-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 JONESBORO RD SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303155260",
            "telephone_number": "404-941-7644",
            "fax_number": "404-941-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "AKSHAY",
        "authorized_official_title_or_position": "PHARMACIST, MEMBER",
        "authorized_official_telephone_number": "404-941-7644"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destine Ede, MD
• Scott Edelman
• Sheila C Edelson
• Bruce Alan Edelstein, D.D.S.
• Olumide Edemodu, BCBA
• Claire Cutler Eden, IBCLC
• Eden'S Care Hospice, LLC Dba Eden'S Care
• Eden'S Home of Care, LLC
• Jane Jones Edens, RN
• Angela Eder

• 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 Mar 19, 2019; 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.