Glimpse Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GLIMPSE PHARMACY LLC

Practice address

3970 Peachtree Industrial Blvd Ste 100
Berkeley Lake, GA 30096-4813

Phone

(404) 556-8373

NPI assigned

Nov 6, 2025

Organization subpart

No

Name

Surrourossadat Lavassani

Title

Owner

Phone

(404) 556-8373

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 6, 2025.

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1679443501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 PEACHTREE INDUSTRIAL BLVD STE 100",
            "city": "BERKELEY LAKE",
            "state": "GA",
            "postal_code": "300964813",
            "telephone_number": "404-556-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 PEACHTREE INDUSTRIAL BLVD STE 100",
            "city": "BERKELEY LAKE",
            "state": "GA",
            "postal_code": "300964813",
            "telephone_number": "404-556-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLIMPSE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "LAVASSANI",
        "authorized_official_first_name": "SURROUROSSADAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-556-8373"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.