Prestige Pharmacy Johns Creek, LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

PRESTIGE PHARMACY JOHNS CREEK, LLC

Practice address

6375 McGinnis Ferry Rd
Suite 102
Johns Creek, GA 30005-3617

Phone

(678) 869-6000

NPI assigned

May 10, 2016

Organization subpart

No

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

Authorized official

Name

Ami Patel, PHARMD

Title

Owner

Phone

(678) 315-1516

Specialties & licenses 1

Addresses

Other names 1

• Prestige Pharmacy Doing business as

Locations

Practitioners 1

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

• William Bowen, PHARM.D.

  • Pharmacist
  • Johns Creek, GA
  • NPI 1013772797
  NPD (past)

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1508212382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6375 MCGINNIS FERRY RD",
            "address_2": "SUITE 102",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300053617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6375 MCGINNIS FERRY RD",
            "address_2": "SUITE 102",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300053617",
            "telephone_number": "678-869-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE PHARMACY JOHNS CREEK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "AMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-315-1516",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestige Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Plus Chiropractic&Acupuncture Clinic LLC
• Shruthi Polu
• Natasha Posada, B.S.
• Sam Pournezhad, PHAMD
• Premier Specialty Pharmacy LLC
• Krista Price
• Pritchett Eye Care LLC
• Pro Radiology, LLC
• Lyndsey Blake Pulliam, CNM
• Venkata Shiva Puttagunta

• Compounding Pharmacy in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Compounding Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.