NPIMap

Organization Active NPI

Kayton Pharmacy LLC

  • Long Term Care Pharmacy
  • Forest Park, GA
National Provider Identifier
1295347516
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
KAYTON PHARMACY LLC
Practice address
541 Forest Pkwy Ste 4
Forest Park, GA 30297-2147
Phone
(404) 600-5666
NPI assigned
Aug 18, 2020
Organization subpart
Yes
Parent organization
KAYTON PHARMACY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Authorized official

Name
Adefolake Tolulope Ojemuyiwa, RPHNPI 1386233948
Title
Owner
Phone
(404) 600-5666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

541 Forest Pkwy Ste 4
Forest Park, GA 30297-2147

Mailing address

PO Box 43701
Atlanta, GA 30336-0701
Phone (404) 600-5666

Other identifiers 1

IdentifierTypeStateIssuer
03154268AMedicaidGA

Other names 1

  • KAYTON PHARMACY Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kaytonrx@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Kayton Pharmacy LLC2 organizations share this tax ID, including this one
Part of
Kayton Pharmacy LLC

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1295347516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43701",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303360701",
            "telephone_number": "404-600-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 FOREST PKWY STE 4",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302972147",
            "telephone_number": "404-600-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYTON PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KAYTON PHARMACY LLC",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "OJEMUYIWA",
        "authorized_official_first_name": "ADEFOLAKE",
        "authorized_official_middle_name": "TOLULOPE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-600-5666",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03154268A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kaytonrx@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "541 Forest Pkwy Ste 4",
            "city": "Forest Park",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302972147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "KAYTON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forest Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.