Tajendra Prasad Pharm LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

TAJENDRA PRASAD PHARM LLC

Practice address

1818 Houston Lake Rd Unit B600
Perry, GA 31069-2684

Phone

(478) 538-2788

NPI assigned

Jul 27, 2026

Organization subpart

No

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

Authorized official

Name

Malay Patel, PHARMD

Title

Owner/Pic

Phone

(478) 538-2788

Specialties & licenses 2

Addresses

Other names 1

• Peach Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1861314643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12003 WATSON BLVD",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310085577",
            "telephone_number": "478-538-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 HOUSTON LAKE RD UNIT B600",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692684",
            "telephone_number": "478-538-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAJENDRA PRASAD PHARM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MALAY",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "478-538-2788",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peach Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dominique B Taylor, DC
• Rachel J Taylor

• Community/Retail Pharmacy in Perry, GA
• Providers in Perry, 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 Jul 27, 2026; 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.