Organization Active NPI

Kennison Pharmacy, LLC

  • Home Infusion Therapy Pharmacy
  • Buford, GA
National Provider Identifier
1760119820
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
Legal business name
KENNISON PHARMACY, LLC
Practice address
4050 Buford Drive
Buford, GA 30518-3438
Phone
(678) 288-9798
Fax
(678) 288-9839
NPI assigned
Aug 8, 2022
Last updated
Mar 19, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
KENNISON PHARMACY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Kenneth KwartengNPI 1457646648
Title
President
Phone
(404) 789-0048

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Home Infusion Therapy Pharmacy 3336H0001X Primary
Long Term Care Pharmacy 3336L0003X
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

4050 Buford Drive
Buford, GA 30518-3438

Mailing address

1600 Pinehurst View Drive
Grayson, GA 30017-7912
Phone (404) 789-0048

Other identifiers 1

IdentifierTypeStateIssuer
003218175AMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Kennison Pharmacy LLC2 organizations share this tax ID, including this one
Part of
Kennison Pharmacy LLC

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1760119820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 PINEHURST VIEW DRIVE",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300177912",
            "telephone_number": "404-789-0048",
            "fax_number": "678-288-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 BUFORD DRIVE",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305183438",
            "telephone_number": "678-288-9798",
            "fax_number": "678-288-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNISON PHARMACY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KENNISON PHARMACY, LLC",
        "enumeration_date": "2022-08-08",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "KWARTENG",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-789-0048"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003218175A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.