Individual provider Active NPI

Frank Keith Sanacore, PHARMD

  • Pharmacist
  • Milton, GA
National Provider Identifier
1548557333
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
021164 Issued in GA
Practice address
13055 Highway 9 N
Milton, GA 30004-5137
Phone
(770) 225-1781
Fax
(770) 225-1791
NPI assigned
Jun 30, 2011
Last updated
Jun 30, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 021164 GA Primary

Addresses

Primary practice location

13055 Highway 9 N
Milton, GA 30004-5137

Mailing address

13055 Highway 9 N
Milton, GA 30004-5137
Phone (770) 225-1781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
021164GAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1548557333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13055 HIGHWAY 9 N",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300045137",
            "telephone_number": "770-225-1781",
            "fax_number": "770-225-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13055 HIGHWAY 9 N",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300045137",
            "telephone_number": "770-225-1781",
            "fax_number": "770-225-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANACORE",
        "first_name": "FRANK",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-30",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "021164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.