Organization Active NPI

Express Drugs of Savannah LLC

Doing business as Express Drugs HealthMart Pharmacy

  • Community/Retail Pharmacy
  • Savannah, GA
National Provider Identifier
1629438296
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE010267 Issued in GA
Legal business name
EXPRESS DRUGS OF SAVANNAH LLC
Doing business as
Express Drugs HealthMart Pharmacy
Practice address
824 E de Renne Ave
Savannah, GA 31405-6717
Phone
(912) 777-3230
Fax
(912) 436-6616
NPI assigned
Feb 25, 2016
Last updated
Apr 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Authorized official

Name
Minh Thai, PHARMD
Title
Manager, Ao
Phone
(917) 916-3153

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHRE010267 GA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

824 E de Renne Ave
Savannah, GA 31405-6717

Mailing address

824 E Derenne Ave
Savannah, GA 31405-6717
Phone (912) 777-3230

Other names 1

  • Express Drugs HealthMart Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

824 E Derenne Ave
Savannah, GA 31405
Phone (912) 777-3230

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1629438296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 E DERENNE AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056717",
            "telephone_number": "912-777-3230",
            "fax_number": "912-436-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 E DE RENNE AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056717",
            "telephone_number": "912-777-3230",
            "fax_number": "912-436-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS DRUGS OF SAVANNAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "THAI",
        "authorized_official_first_name": "MINH",
        "authorized_official_title_or_position": "MANAGER, AO",
        "authorized_official_telephone_number": "917-916-3153",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE010267",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Drugs HealthMart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.