NPIMap

Organization Active NPI

Synergen RX, LLC

  • Pharmacy
  • Doraville, GA
National Provider Identifier
1699347682
Registry record updated Jul 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
SYNERGEN RX, LLC
Practice address
3990 Flowers Rd Ste 530
Doraville, GA 30360-3195
Phone
(404) 585-7517
Fax
(404) 900-9209
NPI assigned
Jul 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2021

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

Authorized official

Name
Jonathan Personius, PHARMD
Title
VP Pharmacy
Phone
(404) 585-7517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

3990 Flowers Rd Ste 530
Doraville, GA 30360-3195

Mailing address

3990 Flowers Rd Ste 530
Doraville, GA 30360-3195
Phone (404) 585-7517

National Provider Directory

National Provider Directory
Tax ID family
Synergen RX LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1625961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625961600000",
    "number": "1699347682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 FLOWERS RD STE 530",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303603195",
            "telephone_number": "404-585-7517",
            "fax_number": "404-900-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 FLOWERS RD STE 530",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303603195",
            "telephone_number": "404-585-7517",
            "fax_number": "404-900-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGEN RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-11",
        "last_updated": "2021-07-11",
        "certification_date": "2021-07-11",
        "status": "A",
        "authorized_official_last_name": "PERSONIUS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "VP PHARMACY",
        "authorized_official_telephone_number": "404-585-7517",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doraville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2021; 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.