Synergen RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SYNERGEN RX LLC

Doing business as

Synergen Rx

Practice address

1447 Peachtree St NE Ste 206
Atlanta, GA 30309-3018

Phone

(770) 727-0443

Fax

(404) 900-9209

NPI assigned

Jun 10, 2021

Last updated

Jun 10, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

SYNERGEN RX, LLCAs reported in NPPES

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

Authorized official

Name

Ian Cory Tokash, MBA

Title

VP Operations

Phone

(404) 585-7517

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Synergen Rx Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Synergen RX LLC

  dba Synergen Rx

  • Community/Retail Pharmacy
  • Doraville, GA
  • NPI 1811550528

  6204166853

  Same PAC ID

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

Medicare medical equipment & supply locations

Tax ID family

Synergen RX LLC3 organizations share this tax ID, including this one

Part of

Synergen RX LLC

Other organizations with this tax ID 2

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

• Synergen RX, LLC

  • Home Infusion Therapy Pharmacy
  • Doraville, GA
  • NPI 1578237426
  NPD tax ID
• Synergen RX, LLC

  • Pharmacy
  • Doraville, GA
  • NPI 1699347682
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Walter Won Shutter

  • Pharmacist
  • Atlanta, GA
  • NPI 1285246462
  NPD

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1346817905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 FLOWERS RD STE 530",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303603195",
            "telephone_number": "404-585-7517",
            "fax_number": "404-900-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 PEACHTREE ST NE STE 206",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093018",
            "telephone_number": "770-727-0443",
            "fax_number": "404-900-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGEN RX LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SYNERGEN RX, LLC",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "TOKASH",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "CORY",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "404-585-7517",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA BOARD OF PHARMACY",
            "identifier": "PHRE10942",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergen Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Panagiotis N Symbas, MD
• Peter John Symbas, M.D.
• Symphony Psychiatry
• Synapse, LLC
• Sync Health Care Solutions
• Synergi Health Solutions, LLC
• Synergy Behavioral Services, LLC
• Synergy Care LLC (Advanced Infusion Care Centers)
• Synergy Counseling Services
• Synergy Counseling,LLC

• Community/Retail Pharmacy in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.