Organization Active NPI

Goodcare Pharmacy LLC

  • Community/Retail Pharmacy
  • Norcross, GA
National Provider Identifier
1700441128
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GOODCARE PHARMACY LLC
Practice address
1235 Indian Trail Lilburn Rd Ste B100
Norcross, GA 30093-5780
Phone
(770) 858-5008
NPI assigned
May 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Authorized official

Name
Jayesh Patel
Title
Managing Director
Phone
(770) 331-7964

Specialties & licenses 2

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

Addresses

Primary practice location

1235 Indian Trail Lilburn Rd Ste B100
Norcross, GA 30093-5780

Mailing address

1235 Indian Trail Lilburn Rd Ste B100
Norcross, GA 30093-5780
Phone (770) 858-5008

Other names 1

  • Allwell Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200908003179 GA Part B Supplier - Mass Immunization (Roster Biller Only) 1052739018 Practice locations: Norcross, GA

National Provider Directory

National Provider Directory

Locations

1235 Indian Trail Lilburn Rd
Ste B100
Norcross, GA 30093
Phone (770) 858-5008

NPI Registry JSON

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1700441128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 INDIAN TRAIL LILBURN RD STE B100",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300935780",
            "telephone_number": "770-858-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 INDIAN TRAIL LILBURN RD STE B100",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300935780",
            "telephone_number": "770-858-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODCARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAYESH",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "770-331-7964"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allwell Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.