Organization Active NPI

Nas Decatur LLC

  • Community/Retail Pharmacy
  • Decatur, GA
National Provider Identifier
1831865690
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Aug 20, 2021

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.