Elle's Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ELLE'S PHARMACY

Practice address

150 Hurricane Shoals Rd NW
Suite G
Lawrenceville, GA 30046-4115

Phone

(678) 939-6393

NPI assigned

Apr 10, 2012

Last updated

Apr 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter N Gyimah

Title

Pharmacist

Phone

(678) 939-6393

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1497011860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 BRISTOL CIR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 HURRICANE SHOALS RD NW",
            "address_2": "SUITE G",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464115",
            "telephone_number": "678-939-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLE'S PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "GYIMAH",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "678-939-6393"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.