Organization Active NPI

Moyes McDonough Pharmacy LLC

  • Community/Retail Pharmacy
  • McDonough, GA
National Provider Identifier
1336166321
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on May 12, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1122465OtherOTHER ID NUMBER-COMMERCIAL NUMBER
000608594AMedicaidGA

Other names 1

  • MOYES HEALTH MART PHARMACY MCDONOUGH Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2185306Moyes Pharmacy62 Keys Ferry Street, McDonough, GA 30253Certificate of waiverJun 1, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.