Pact Atlanta Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PACT ATLANTA PHARMACY LLC

Doing business as

Winn Way Pharmacy

Practice address

465 Winn Way Ste 221a
Decatur, GA 30030-1723

Phone

(404) 292-3810

NPI assigned

Mar 2, 2022

Last updated

Mar 2, 2022By 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

Naveed Tharwani

Title

President

Phone

(770) 846-8671

Specialties & licenses 2

Addresses

Other names 1

• Winn Way 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, and the practitioner matching its NPPES authorized official.

• Shawn McRae

  • Psychiatric/Mental Health Nurse Practitioner
  • Decatur, GA
  • NPI 1518761154
  NPD

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1609523497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 PARKSIDE WALK LN STE 108",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 WINN WAY STE 221A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301723",
            "telephone_number": "404-292-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACT ATLANTA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "THARWANI",
        "authorized_official_first_name": "NAVEED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-846-8671"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winn Way Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Olufunmi Rachael Oyewumi
• Maureen Nnenna Ozim, NURSE PRACTITIONER
• Leslye Howell Pace, M.D.
• Hailey Christine Wetta Pachciarz, PA-C
• Guadalupe Rosario Pacheco, DC
• Pact Atlanta, LLC
• Keerthi Reddy Padooru, MD
• Rekha Pagadala, AA
• Patricia Zartman Page, MS, CGC
• Pain Care Store

• Community/Retail Pharmacy in Decatur, GA
• Providers in Decatur, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.