Organization Active NPI

Wyatt's RX LLC

Doing business as Wyatt's Pharmacy

  • Pharmacy
  • Lithia Springs, GA
National Provider Identifier
1649215229
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
WYATT'S RX LLC
Doing business as
Wyatt's Pharmacy
Practice address
10671 Veterans Memorial Hwy
Lithia Springs, GA 30122-2062
Phone
(770) 948-8825
Fax
(770) 948-8848
NPI assigned
Jun 18, 2006
Last updated
Sep 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Sweta P Joines, PHARMD
Title
Owner
Phone
(706) 975-9581

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary
Community/Retail Pharmacy 3336C0003X PHRE010408 GA

Addresses

Primary practice location

10671 Veterans Memorial Hwy
Lithia Springs, GA 30122-2062

Mailing address

10671 Veterans Memorial Hwy
Lithia Springs, GA 30122-2062
Phone (770) 948-8825

Other identifiers 2

IdentifierTypeStateIssuer
00440646AMedicaidGA
2012556OtherPK

Other names 1

  • Wyatt's Pharmacy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pharmacist@wyattspharmacy.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20110510000154 GA Part B Supplier - Pharmacy 9830216167 Practice locations: Lithia Springs, GA
O20210203002768 GA Part B Supplier - Pharmacy 4486916574 Practice locations: Lithia Springs, GA
O20260312001475 GA Part B Supplier - Mass Immunization (Roster Biller Only) 3375026826 Practice locations: Lithia Springs, GA

National Provider Directory

National Provider Directory

Locations

10671 Veterans Memorial Hwy
Lithia Springs, GA 30122
Phone (770) 948-8825

3750 Bankhead Hwy
Ste 1
Lithia Springs, GA 30122
Phone (770) 948-8825

Practitioners & affiliated clinicians

Practitioners 4

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": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1649215229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10671 VETERANS MEMORIAL HWY",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301222062",
            "telephone_number": "770-948-8825",
            "fax_number": "770-948-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10671 VETERANS MEMORIAL HWY",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301222062",
            "telephone_number": "770-948-8825",
            "fax_number": "770-948-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYATT'S RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "JOINES",
        "authorized_official_first_name": "SWETA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-975-9581",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE010408",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440646A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2012556",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pharmacist@wyattspharmacy.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10671 Veterans Memorial Hwy",
            "city": "Lithia Springs",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301222062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Wyatt's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wyatt's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lithia Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.