Organization Active NPI

Kavlin RX LLC

Doing business as Bethelview Pharmacy

  • Community/Retail Pharmacy
  • Cumming, GA
National Provider Identifier
1841060340
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
KAVLIN RX LLC
Doing business as
Bethelview Pharmacy
Practice address
2336 Atlanta Hwy
Cumming, GA 30040-6370
Phone
(470) 253-4893
Fax
(470) 253-4894
NPI assigned
Jan 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Keyur Patel, PHARMDNPI 1427658319
Title
Owner
Phone
(770) 655-3505

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2336 Atlanta Hwy
Cumming, GA 30040-6370

Mailing address

2336 Atlanta Hwy
Cumming, GA 30040-6370
Phone (470) 253-4893

Other names 1

  • Bethelview Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240604000234 GA Part B Supplier - Pharmacy 6709328925 Practice locations: Cumming, GA

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": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1841060340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 ATLANTA HWY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300406370",
            "telephone_number": "470-253-4893",
            "fax_number": "470-253-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 ATLANTA HWY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300406370",
            "telephone_number": "470-253-4893",
            "fax_number": "470-253-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAVLIN RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KEYUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-655-3505",
        "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": "Bethelview Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.