Organization Active NPI

Dawson Family Pharmacy LLC

  • Pharmacy
  • Dawsonville, GA
National Provider Identifier
1881288561
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
DAWSON FAMILY PHARMACY LLC
Doing business as
Dawson Family Pharmacy
Practice address
73 Prestige LN Ste 104
Dawsonville, GA 30534-6368
Phone
(706) 203-1400
Fax
(706) 203-1401
NPI assigned
Feb 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Authorized official

Name
Narayana Kandepu, PH.DNPI 1417247156
Title
Manager
Phone
(678) 641-1955

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

73 Prestige LN Ste 104
Dawsonville, GA 30534-6368

Mailing address

11067 Peachcove CT
Suwanee, GA 30024-6103
Phone (678) 641-1955

Other names 1

  • Dawson Family Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

73 Prestige Ln
Ste 104
Dawsonville, GA 30534
Phone (706) 203-1400

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": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1881288561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11067 PEACHCOVE CT",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246103",
            "telephone_number": "678-641-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 PRESTIGE LN STE 104",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346368",
            "telephone_number": "706-203-1400",
            "fax_number": "706-203-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWSON FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "KANDEPU",
        "authorized_official_first_name": "NARAYANA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "678-641-1955",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dawson Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dawsonville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.