Organization Active NPI

Hanklas' Inc

  • Pharmacy
  • Norcross, GA
National Provider Identifier
1447316682
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHRE005507 Issued in GA
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

Updated by the provider on Jul 8, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231120003567 GA Part B Supplier - Pharmacy 2163870775 Practice locations: Norcross, GA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.