Organization Active NPI

To Our Shores, Inc

  • Community/Retail Pharmacy
  • Lawrenceville, GA
National Provider Identifier
1497572598
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
TO OUR SHORES, INC
Practice address
250 Langley Dr Ste 1101
Lawrenceville, GA 30046-6932
Phone
(770) 954-5997
NPI assigned
Sep 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Miyesha A CheeksNPI 1316005523
Title
Ceo / Director
Phone
(917) 853-5056

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Multi-Specialty Clinic/Center 261QM1300X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

250 Langley Dr Ste 1101
Lawrenceville, GA 30046-6932

Mailing address

250 Langley Dr Ste 1101
Lawrenceville, GA 30046-6932

Other names 1

  • To Our Shores Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250328002283 GA Part B Supplier - Pharmacy 0648657130 Practice locations: Lawrenceville, GA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
To Our Shores Inc2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1497572598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 LANGLEY DR STE 1101",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300466932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 LANGLEY DR STE 1101",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300466932",
            "telephone_number": "770-954-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TO OUR SHORES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-21",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "CHEEKS",
        "authorized_official_first_name": "MIYESHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO / DIRECTOR",
        "authorized_official_telephone_number": "917-853-5056"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "To Our Shores Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.