Elben RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE010419 Issued in GA

Legal business name

ELBEN RX INC

Practice address

631 Broad St SE
Gainesville, GA 30501-3729

Phone

(770) 532-0186

Fax

(770) 503-1016

NPI assigned

Dec 21, 2017

Organization subpart

No

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

Authorized official

Name

Christopher SullensNPI 1275122426

Title

President

Phone

(770) 532-0186

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Lawrence Pharmacy Other name

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

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

Locations

Practitioners 1

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

• Christopher Sullens, PHARMD

  • Pharmacist
  • Gainesville, GA
  • NPI 1275122426
  NPD Authorized official

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1730695040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 BROAD ST SE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013729",
            "telephone_number": "770-532-0186",
            "fax_number": "770-503-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 BROAD ST SE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013729",
            "telephone_number": "770-532-0186",
            "fax_number": "770-503-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELBEN RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-21",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "SULLENS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-532-0186"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE010419",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000673219A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2174745",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawrence Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ehi Pharmacy Solutions, LLC.
• Daniel D Eisenman, PH.D.
• Sohail Ejaz, MD
• Tosan Betina Ejutse, MD
• Nagwa Elamin, DDS
• Jeff O Elder, MD
• Adnan Elhammali
• Brandon Lee Ellis, PA-C
• Ezra Daniel Ellis, M.D.
• Ashlyn Ellison

• Community/Retail Pharmacy in Gainesville, GA
• Providers in Gainesville, 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 Sep 19, 2025; 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.