Shreeji Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SHREEJI PHARMACY LLC

Practice address

405 Sigman Rd NW Ste B
Conyers, GA 30012-3625

Phone

(770) 648-7868

Fax

(770) 648-7829

NPI assigned

Feb 14, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Sachinkumar R Patel, PHARMACIST

Title

Owner

Phone

(770) 648-7868

Specialties & licenses 1

Addresses

Other names 1

• ROCKDALE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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

{
    "created_epoch": "1455408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1669831012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 SIGMAN RD NW STE B",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123625",
            "telephone_number": "770-648-7868",
            "fax_number": "770-648-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SIGMAN RD NW STE B",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123625",
            "telephone_number": "770-648-7868",
            "fax_number": "770-648-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREEJI PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-14",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SACHINKUMAR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-648-7868",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROCKDALE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Jung Hyun Shin, PT
• Shining Hearts ABA
• Shiraz Habib Kassam
• Syed Haider Shirazi, MD
• Patricia Whatley Showelll, LCSW
• Mark Shurett, DDS
• Willie Shy
• Grigsby Thomas Sibley, DMD
• Masood Siddiquee, MD
• Significant Companion Home Care LLC

• Community/Retail Pharmacy in Conyers, GA
• Providers in Conyers, 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 Aug 23, 2016; 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.