Active NPI
Hanklas' Inc
- Pharmacy
- Norcross, GA
National Provider Identifier
1447316682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PHRE005507
- Legal business name
- HANKLAS' INC
- Practice address
- 2625 Beaver Ruin Rd
Norcross, GA 30071-4136 - Phone
- (770) 448-2288
- Fax
- (770) 448-2294
- NPI assigned
- Dec 30, 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
- Jason Backus
- Title
- Owner
- Phone
- (770) 448-2288
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PHRE005507 | GA | Primary |
Addresses
Primary practice location
2625 Beaver Ruin Rd
Norcross, GA 30071-4136
Mailing address
2625 Beaver Ruin Rd
Norcross, GA 30071-4136
Phone (770) 448-2288
Other names 1
- Norcross pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231120003567 | GA | Part B Supplier - Pharmacy | 2163870775 | Practice locations: Norcross, GA |
National Provider Directory
National Provider DirectoryLocations
2625 Beaver Ruin Rd
Norcross, GA 30071
Phone (770) 448-2288
510A Beaver Ruin Rd
Norcross, GA 30071
2625A Beaver Ruin Rd
Norcross, GA 30071
Phone (770) 448-2288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751932800000",
"number": "1447316682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 BEAVER RUIN RD",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300714136",
"telephone_number": "770-448-2288",
"fax_number": "770-448-2294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 BEAVER RUIN RD",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300714136",
"telephone_number": "770-448-2288",
"fax_number": "770-448-2294"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANKLAS' INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-30",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A",
"authorized_official_last_name": "BACKUS",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-448-2288"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "GA",
"license": "PHRE005507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Norcross pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.