Nas Decatur LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE003374 Issued in GA

Legal business name

NAS DECATUR LLC

Practice address

225 E Ponce de Leon Ave
Suite 140
Decatur, GA 30030-3444

Phone

(404) 378-5408

Fax

(404) 378-5400

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Samir Shah, PHARMD

Title

Owner

Phone

(706) 825-8182

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• McKinney's Apothecary Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Henry Douglas Taunton Jr., RPH

  • Pharmacist
  • Decatur, GA
  • NPI 1588772206
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1831293885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E PONCE DE LEON AVE",
            "address_2": "SUITE 140",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303444",
            "telephone_number": "404-378-5408",
            "fax_number": "404-378-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E PONCE DE LEON AVE",
            "address_2": "SUITE 140",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303444",
            "telephone_number": "404-378-5408",
            "fax_number": "404-378-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAS DECATUR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-825-8182",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE003374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2012320",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00031523A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McKinney's Apothecary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lan Namgoong, PHARMD
• Mark Stuart Nanes, M.D., PH.D.
• Vaishnavi T Narain, O.D.
• Kristen Narlow, RD, LD, CC
• Natasha Narvel, MD
• Nas Decatur LLC
• Sarah Elizabeth Nasatir-Hilty, DNP, CNM
• Ashley Danielle Nash, MS, NCC
• Holley Nash, RDN
• Jenna A Nash, PA-C

• Community/Retail Pharmacy in Decatur, GA
• Providers in Decatur, 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 Aug 2, 2022; 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.