Organization Active NPI

Sawnee Drug Co

  • Community/Retail Pharmacy
  • Cumming, GA
National Provider Identifier
1861557639
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE006999 Issued in GA
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00380135BMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930075896 GA DME Supplier - PharmacyDME Supplier - Prosthetic PersonnelDME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Oxygen & Equipment 5597882837 Practice locations: Cumming, GA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.