Active NPI
MZ Vaccine LLC
- Community/Retail Pharmacy
- Atlanta, GA
National Provider Identifier
1780448001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MZ VACCINE LLC
- Doing business as
- MZ Pharmacy & Vaccines
- Practice address
- 2244 Henderson Mill Rd NE Ste 100
Atlanta, GA 30345-2775 - Phone
- (888) 574-8648
- Fax
- (770) 740-7944
- NPI assigned
- Feb 7, 2024
- 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
- Sowra Hamid
- Title
- Ceo
- Phone
- (770) 759-9594
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
2244 Henderson Mill Rd NE Ste 100
Atlanta, GA 30345-2775
Mailing address
6101 Northlake Heights Cir NE
Avana Citynorth Apartments
Atlanta, GA 30345-2258
Phone (770) 572-1971
Other names 1
- MZ Pharmacy & Vaccines
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240705001704 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 5698219384 | Practice locations: Atlanta, GA |
National Provider Directory
National Provider DirectoryLocations
3342 Peachtree Rd NE
Ste 145275
Atlanta, GA 30326
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Atlanta, GA
- NPI 1912390659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742515200000",
"number": "1780448001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 NORTHLAKE HEIGHTS CIR NE",
"address_2": "AVANA CITYNORTH APARTMENTS",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303452258",
"telephone_number": "770-572-1971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2244 HENDERSON MILL RD NE STE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303452775",
"telephone_number": "888-574-8648",
"fax_number": "770-740-7944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MZ VACCINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-07",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A",
"authorized_official_last_name": "HAMID",
"authorized_official_first_name": "SOWRA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "770-759-9594"
},
"taxonomies": [
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic 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": "MZ Pharmacy & Vaccines",
"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 Mar 21, 2025; 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.