NPIMap

Organization Active NPI

Collaborativerx

  • Community/Retail Pharmacy
  • Lawrenceville, GA
National Provider Identifier
1306346788
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE010426 Issued in GA
Legal business name
COLLABORATIVERX
Doing business as
Salveo Integrative Pharmacy
Practice address
311 Gwinnett Dr Ste 250
Lawrenceville, GA 30046-5671
Phone
(404) 585-5445
Fax
(678) 498-6093
NPI assigned
Feb 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Authorized official

Name
Naveed Tharwani
Title
Pharmacist
Phone
(404) 585-5445

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHRE010426 GA Primary

Addresses

Primary practice location

311 Gwinnett Dr Ste 250
Lawrenceville, GA 30046-5671

Mailing address

311 Gwinnett Dr Ste 250
Suite 250
Lawrenceville, GA 30046-5671
Phone (404) 585-5445

Other identifiers 1

IdentifierTypeStateIssuer
2175897OtherPK

Other names 1

  • Salveo Integrative Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Collaborativerx2 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.

Locations

311 Gwinnett Dr
Ste 250
Lawrenceville, GA 30046
Phone (404) 585-5445

NPI Registry JSON

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518480000000",
    "number": "1306346788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 GWINNETT DR STE 250",
            "address_2": "SUITE 250",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465671",
            "telephone_number": "404-585-5445",
            "fax_number": "678-498-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 GWINNETT DR STE 250",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465671",
            "telephone_number": "404-585-5445",
            "fax_number": "678-498-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVERX",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A",
        "authorized_official_last_name": "THARWANI",
        "authorized_official_first_name": "NAVEED",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "404-585-5445"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE010426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175897",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salveo Integrative Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; 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.