Organization Active NPI

Samarpan Inc.

  • Community/Retail Pharmacy
  • Douglasville, GA
National Provider Identifier
1669429353
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
007495 Issued in GA
Legal business name
SAMARPAN INC.
Practice address
6126 Prestley Mill Rd
Unit K
Douglasville, GA 30134-5623
Phone
(770) 949-7977
Fax
(770) 489-7160
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Authorized official

Name
Mr. Parikshit S Patel, RPH.NPI 1346678687
Title
Chief Pharmacist Owner
Phone
(770) 949-7977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 007495 GA Primary

Addresses

Primary practice location

6126 Prestley Mill Rd
Unit K
Douglasville, GA 30134-5623

Mailing address

6126 Prestley Mill Rd
Unit K
Douglasville, GA 30134-5623
Phone (770) 949-7977

Other identifiers 1

IdentifierTypeStateIssuer
00698255MedicaidGA

Other names 1

  • The Apothecary Shoppe Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930078537 GA DME Supplier - PharmacyDME Supplier - Medical Supply Company With Orthotic-Prosthetic 0648390732 Practice locations: Douglasville, GA
O20130923000305 GA Part B Supplier - Mass Immunization (Roster Biller Only) 0648390732 Practice locations: Douglasville, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Samarpan Inc.6126 Prestley Mill Rd, Douglasville, GA 30134-2273(770) 949-7977 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Walkers|Wheelchair Seating/Cushions|Orthoses: Off-The-Shelf|Breast Prostheses and/or Acces… Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

6126 Prestley Mill Rd
Ste K
Douglasville, GA 30134
Phone (770) 949-7977

6126 Prestley Mill Rd
Douglasville, GA 30134
Phone (770) 949-7977

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1669429353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6126 PRESTLEY MILL RD",
            "address_2": "UNIT K",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301345623",
            "telephone_number": "770-949-7977",
            "fax_number": "770-489-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6126 PRESTLEY MILL RD",
            "address_2": "UNIT K",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301345623",
            "telephone_number": "770-949-7977",
            "fax_number": "770-489-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARPAN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PARIKSHIT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF PHARMACIST OWNER",
        "authorized_official_telephone_number": "770-949-7977",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "007495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00698255",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Apothecary Shoppe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.