Organization Active NPI

East Point Pharmacy LLC

  • Community/Retail Pharmacy
  • East Point, GA
National Provider Identifier
1497536940
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
EAST POINT PHARMACY LLC
Practice address
2919 E Point St
East Point, GA 30344-4201
Phone
(770) 715-0472
NPI assigned
Oct 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
Sagar Patel
Title
Member
Phone
(770) 715-0472

Specialties & licenses 1

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

Addresses

Primary practice location

2919 E Point St
East Point, GA 30344-4201

Mailing address

990 Peachtree Industrial Blvd Unit 1644
Suwanee, GA 30024-5214

Other names 1

  • EAST POINT PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240816000985 GA Part B Supplier - Pharmacy 6608314000 Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory
Tax ID family
East Point LTC Pharmacy2 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": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1497536940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 PEACHTREE INDUSTRIAL BLVD UNIT 1644",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300245214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 E POINT ST",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303444201",
            "telephone_number": "770-715-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST POINT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SAGAR",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "770-715-0472"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAST POINT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Point, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.