Active NPI
Moyes McDonough Pharmacy LLC
- Community/Retail Pharmacy
- McDonough, GA
National Provider Identifier
1336166321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MOYES MCDONOUGH PHARMACY LLC
- Practice address
- 62 Keys Ferry St
McDonough, GA 30253-3298 - Phone
- (770) 957-1851
- Fax
- (770) 957-7434
- NPI assigned
- Jul 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kamleshkumar Sonani
- Title
- Owner
- Phone
- (770) 957-1851
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 5016 | GA | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
62 Keys Ferry St
McDonough, GA 30253-3298
Mailing address
2988 Gillsville Hwy
Gainesville, GA 30507-7991
Phone (770) 957-1851
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1122465 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 000608594A | Medicaid | GA |
Other names 1
- MOYES HEALTH MART PHARMACY MCDONOUGH
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130827000217 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7214054907 |
7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: McDonough, GA; Locust Grove, GA; Jackson, GA; Hampton, GA |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2185306 | Moyes Pharmacy | Certificate of waiver | Jun 1, 2028 |
National Provider Directory
National Provider DirectoryLocations
2988 Gillsville Hwy
Gainesville, GA 30507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778544000000",
"number": "1336166321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2988 GILLSVILLE HWY",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305077991",
"telephone_number": "770-957-1851",
"fax_number": "770-957-7434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 KEYS FERRY ST",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302533298",
"telephone_number": "770-957-1851",
"fax_number": "770-957-7434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOYES MCDONOUGH PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-16",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A",
"authorized_official_last_name": "SONANI",
"authorized_official_first_name": "KAMLESHKUMAR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-957-1851"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "GA",
"license": "5016",
"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": "1122465",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000608594A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MOYES HEALTH MART PHARMACY MCDONOUGH",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.