Yasmin Discount Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE009367 Issued in GA

Legal business name

YASMIN DISCOUNT PHARMACY LLC

Practice address

5231 Memorial Dr # S-B1
Stone Mountain, GA 30083-3153

Phone

(404) 963-5668

Fax

(404) 963-5639

NPI assigned

Oct 26, 2007

Organization subpart

No

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

Authorized official

Name

Fozi Abdulahi

Title

Owner

Phone

(404) 963-5668

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1639358609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5231 MEMORIAL DR STE B1",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833153",
            "telephone_number": "404-963-5668",
            "fax_number": "404-963-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5231 MEMORIAL DR # S-B1",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833153",
            "telephone_number": "404-963-5668",
            "fax_number": "404-963-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YASMIN DISCOUNT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "ABDULAHI",
        "authorized_official_first_name": "FOZI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-963-5668"
    },
    "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": "PHRE009367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168353",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Stone Mountain, GA
• Providers in Stone Mountain, 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 Apr 4, 2017; 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.