NPIMap

Organization Active NPI

Santa Fe Pharmacy

  • Community/Retail Pharmacy
  • Duluth, GA
National Provider Identifier
1487833919
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE009404 Issued in GA
Legal business name
SANTA FE PHARMACY
Practice address
3750 Venture Dr
Ste 140
Duluth, GA 30096-1808
Phone
(770) 495-7942
Fax
(770) 495-7943
NPI assigned
Nov 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
Manuel Lozano
Title
Director
Phone
(770) 495-7942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHRE009404 GA Primary

Addresses

Primary practice location

3750 Venture Dr
Ste 140
Duluth, GA 30096-1808

Mailing address

3750 Venture Dr
Ste 140
Duluth, GA 30096-1808

Other identifiers 1

IdentifierTypeStateIssuer
1156480OtherOTHER ID NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Clinica Santa Fe2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1487833919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 VENTURE DR",
            "address_2": "STE 140",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 VENTURE DR",
            "address_2": "STE 140",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961808",
            "telephone_number": "770-495-7942",
            "fax_number": "770-495-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA FE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "LOZANO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "770-495-7942"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1156480",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.