Active NPI
Nas Decatur LLC
- Community/Retail Pharmacy
- Decatur, GA
National Provider Identifier
1831865690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- NAS DECATUR LLC
- Practice address
- 225 E Ponce de Leon Ave Ste 140
Decatur, GA 30030-3443 - Phone
- (404) 378-5408
- Fax
- (404) 378-5400
- NPI assigned
- Aug 20, 2021
- 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
- Samir Shah, PHARMD
- Title
- Owner
- Phone
- (706) 825-8182
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
225 E Ponce de Leon Ave Ste 140
Decatur, GA 30030-3443
Mailing address
225 E Ponce de Leon Ave Ste 140
Decatur, GA 30030-3443
Phone (404) 378-5408
Other names 1
- McKinney's Apothecary
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Decatur, GA
- NPI 1588772206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629417600000",
"number": "1831865690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 E PONCE DE LEON AVE STE 140",
"city": "DECATUR",
"state": "GA",
"postal_code": "300303443",
"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 STE 140",
"city": "DECATUR",
"state": "GA",
"postal_code": "300303443",
"telephone_number": "404-378-5408",
"fax_number": "404-378-5400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAS DECATUR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-20",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"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": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "McKinney's Apothecary",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.