Lyhka5 LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE010287 Issued in GA

Legal business name

LYHKA5 LLC

Doing business as

Anna's Duluth Pharmacy

Practice address

4470 Satellite Blvd Ste 108
Duluth, GA 30096-8852

Phone

(470) 268-8922

NPI assigned

Apr 22, 2016

Last updated

Jan 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anna N Tran, PHARM D.NPI 1609228741

Title

Owner

Phone

(678) 622-9234

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Anna's Duluth Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Locations

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.

• Anna Tran

  • Pharmacist
  • Duluth, GA
  • NPI 1609228741
  NPD Authorized official

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1821442153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4470 SATELLITE BLVD STE 108",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968852",
            "telephone_number": "470-268-8922",
            "fax_number": "470-268-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4470 SATELLITE BLVD STE 108",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968852",
            "telephone_number": "470-268-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYHKA5 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-622-9234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "PHRE010287",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE010287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003176035A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anna's Duluth Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anna's Duluth Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Duluth, GA
• Providers in Duluth, 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 Jan 31, 2024; 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.

Verify at the official NPI Registry.