NPIMap

Organization Active NPI

Kennestone Hospital Inc

Doing business as WellStar Pharmacy Network #7

  • Community/Retail Pharmacy
  • Acworth, GA
National Provider Identifier
1336402403
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE009831 Issued in GA
Legal business name
KENNESTONE HOSPITAL INC
Doing business as
WellStar Pharmacy Network #7
Practice address
4550 Cobb Parkway North NW
Acworth, GA 30101-4180
Phone
(470) 956-0005
Fax
(866) 360-8999
NPI assigned
Jun 22, 2012
Last updated
Feb 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Authorized official

Name
Snehal Doshi, BSPHARM
Title
Vice President of Pharmacy
Phone
(678) 763-1925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHRE009831 GA Primary

Addresses

Primary practice location

4550 Cobb Parkway North NW
Acworth, GA 30101-4180

Mailing address

PO Box 742221
Atlanta, GA 30374-2221

Other identifiers 2

IdentifierTypeStateIssuer
2135665OtherPK
003125316AMedicaidGA

Other names 1

  • WellStar Pharmacy Network #7 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kennestone Hospital7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1336402403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742221",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 COBB PARKWAY NORTH NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014180",
            "telephone_number": "470-956-0005",
            "fax_number": "866-360-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNESTONE HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "DOSHI",
        "authorized_official_first_name": "SNEHAL",
        "authorized_official_title_or_position": "VICE PRESIDENT OF PHARMACY",
        "authorized_official_telephone_number": "678-763-1925",
        "authorized_official_credential": "BSPHARM"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135665",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003125316A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellStar Pharmacy Network #7",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.