Active NPI
Sawnee Drug Co
- Community/Retail Pharmacy
- Cumming, GA
National Provider Identifier
1861557639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHRE006999
- Legal business name
- SAWNEE DRUG CO
- Practice address
- 2515 Business Dr
Cumming, GA 30040-4394 - Phone
- (770) 889-8900
- Fax
- (770) 887-8306
- NPI assigned
- Dec 22, 2006
- Last updated
- May 31, 2013
- 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
- Tim Short, RPH
- Title
- President
- Phone
- (770) 889-8900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHRE006999 | GA | Primary |
Addresses
Primary practice location
2515 Business Dr
Cumming, GA 30040-4394
Mailing address
2515 Business Dr
Cumming, GA 30028-4394
Phone (770) 889-8900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00380135B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930075896 | GA | DME Supplier - Pharmacy | 5597882837 | Practice locations: Cumming, GA |
National Provider Directory
National Provider DirectoryLocations
2515 Business Dr
Cumming, GA 30028
Phone (770) 889-8900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369958400000",
"number": "1861557639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2515 BUSINESS DR",
"city": "CUMMING",
"state": "GA",
"postal_code": "300284394",
"telephone_number": "770-889-8900",
"fax_number": "770-887-8306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2515 BUSINESS DR",
"city": "CUMMING",
"state": "GA",
"postal_code": "300404394",
"telephone_number": "770-889-8900",
"fax_number": "770-887-8306"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAWNEE DRUG CO",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-22",
"last_updated": "2013-05-31",
"status": "A",
"authorized_official_last_name": "SHORT",
"authorized_official_first_name": "TIM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-889-8900",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "GA",
"license": "PHRE006999",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00380135B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
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 May 31, 2013; 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.