AIDS Healthcare Foundation
Organization Active NPI Specialty Pharmacy · Lithonia, GA
NPI 1902167141 · NPPES record last updated Dec 3, 2025
Key facts
- NPI
- 1902167141
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialty Pharmacy 3336S0011X
- Legal business name
- AIDS HEALTHCARE FOUNDATION
- Practice address
- 5700 Hillandale Dr Ste 100
Lithonia, GA 30058-4104 - Phone
- (770) 808-3705
- Fax
- (770) 808-4432
- NPI assigned
- Jun 5, 2012
- Organization subpart
- No
Authorized official
- Name
- Kenneth Scott Carruthers
- Title
- Chief of Pharmacy
- Phone
- (323) 860-5266
Other NPIs on the same Medicare enrollment 4
Corporate family (same tax ID) 2
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| AIDS Healthcare Foundation |
Immunosuppressive Drugs|Nebulizer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|External Infusion Pumps and/or Supplies|Insulin Infusion Pumps and/or Supplies|Nebulizer Equipment and/or Supplies | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170908002121 | GA | DME Supplier - Pharmacy | 2668369109 | Practice locations: Lithonia, GA |
| O20170922002785 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 2668369109 |
4 other NPIs on this enrollment Practice locations: Newnan, GA; Lithonia, GA; Atlanta, GA |
| O20200203001830 | GA | Part B Supplier - Pharmacy | 2668369109 |
4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Atlanta, GA; Lithonia, GA; Newnan, GA |
National Provider Directory
- Tax ID family
- AIDS Health Foundation
Locations
5700 Hillandale Dr
Ste 100
Lithonia, GA 30058
Phone (770) 593-6684
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHRE009841 | GA | |
| Specialty Pharmacy | 3336S0011X | Yes |
Addresses
Primary practice location
5700 Hillandale Dr Ste 100
Lithonia, GA 30058-4104
Mailing address
18421 S Main St
Gardena, CA 90248-4609
Phone (310) 999-6089
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2135406 | Other | PK | |
| 003124620A | Medicaid | GA |
Other names
- AHF Pharmacy
Other providers in Lithonia, GA
- Affordable Medical Care of Georgia LLC
- Agape Home Healthcare
- Joy Agboola
- Ageless Health Care & Assisted Living
- AIDS Healthcare Foundation
- Cyriacus Chinedu Ajaelu
- Olaseni Ajibade
- Natalie Akerele
- Akinson Residential and Community Healthcare Services Inc
- Michelle Alade
All providers in Lithonia, GA · Specialty Pharmacy in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.