Active NPI
Kennison Pharmacy, LLC
- Home Infusion Therapy Pharmacy
- Buford, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- 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, 2026
- Organization subpart
- Yes
- Parent organization
- KENNISON PHARMACY, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Kwarteng
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003218175A | Medicaid | GA |
National Provider Directory
National Provider Directory- Tax ID family
- Kennison Pharmacy LLC
- 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.
-
dba Complete Care Pharmacy
- Community/Retail Pharmacy
- Buford, GA
- NPI 1013471010
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.
-
dba Complete Care Pharmacy
- Community/Retail Pharmacy
- Buford, GA
- NPI 1013471010
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.
-
- Pharmacist
- Atlanya, GA
- NPI 1457646648
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.