Sunrise Enterprises Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE009646 Issued in GA

Legal business name

SUNRISE ENTERPRISES INC

Doing business as

mountainview pharmacy

Practice address

1275 Powers Ferry Rd SE Ste 170
Marietta, GA 30067-9487

Phone

(770) 272-9612

Fax

(770) 272-9613

NPI assigned

Jan 25, 2010

Last updated

Jan 21, 2020By 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

Jane Ukoh

Title

Owner

Phone

(770) 272-9612

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• mountainview 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.

• Titilola Ayoola Bailey, RPH

  • Pharmacist
  • Marietta, GA
  • NPI 1124651112
  NPD (past)

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1639400070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 POWERS FERRY RD SE",
            "address_2": "SUITE 170",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300679486",
            "telephone_number": "770-272-9612",
            "fax_number": "770-272-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 POWERS FERRY RD SE STE 170",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300679487",
            "telephone_number": "770-272-9612",
            "fax_number": "770-272-9613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-25",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "UKOH",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-272-9612"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009646",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "951416911A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2123636",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mountainview pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "mountainview pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Supported Employment Specialists

• Community/Retail Pharmacy in Marietta, GA
• Providers in Marietta, 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 Jan 21, 2020; 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.