Active NPI
Express Food & Pharmacy LLC
- Long Term Care Pharmacy
- Atlanta, GA
National Provider Identifier
1770115339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- EXPRESS FOOD & PHARMACY LLC
- Doing business as
- Express Food & Pharmacy
- Practice address
- 50 Upper Alabama St SW Ste 92
Atlanta, GA 30303-3105 - Phone
- (404) 818-0075
- NPI assigned
- Feb 11, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dishank Patel
- Title
- Pharmacist Manager
- Phone
- (404) 818-0075
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
50 Upper Alabama St SW Ste 92
Atlanta, GA 30303-3105
Mailing address
50 Upper Alabama St SW Ste 92
Atlanta, GA 30303-3105
Phone (404) 818-0075
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003144768A | Medicaid | GA |
Other names 1
- Express Food & Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Express Food Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Atlanta, GA
- NPI 1275963209
Locations
50 Upper Alabama St SW
Ste 92
Atlanta, GA 30303
Phone (404) 818-0075
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Atlanta, GA
- NPI 1225684186
-
- Pharmacist
- Atlanta, GA
- NPI 1437805249
-
- Pharmacist
- Atlanta, GA
- NPI 1598306144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581379200000",
"number": "1770115339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 UPPER ALABAMA ST SW STE 92",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303033105",
"telephone_number": "404-818-0075",
"fax_number": "404-818-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 UPPER ALABAMA ST SW STE 92",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303033105",
"telephone_number": "404-818-0075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXPRESS FOOD & PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-11",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "DISHANK",
"authorized_official_title_or_position": "PHARMACIST MANAGER",
"authorized_official_telephone_number": "404-818-0075"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003144768A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Express Food & Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.