Kat International Group Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE009761 Issued in GA

Legal business name

KAT INTERNATIONAL GROUP INC

Doing business as

FAIRWAY PHARMACY

Practice address

1750 Marietta Hwy Ste 260
Canton, GA 30114-8388

Phone

(678) 493-5959

Fax

(678) 493-3546

NPI assigned

Jun 13, 2011

Organization subpart

No

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

Authorized official

Name

Thompson Agyemang

Title

RPH/Owner

Phone

(678) 493-5959

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• FAIRWAY PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1932494473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 MARIETTA HWY",
            "address_2": "SUITE 260",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148387",
            "telephone_number": "678-493-5959",
            "fax_number": "678-493-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 MARIETTA HWY STE 260",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148388",
            "telephone_number": "678-493-5959",
            "fax_number": "678-493-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAT INTERNATIONAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "AGYEMANG",
        "authorized_official_first_name": "THOMPSON",
        "authorized_official_title_or_position": "RPH/OWNER",
        "authorized_official_telephone_number": "678-493-5959"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003110325",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1161570",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAIRWAY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nandhakumar Kanagarajan, M.D.
• Cheryl Marie Kane
• Edward Park Kang, M.D.
• Carson Lee Kantoris, PHARMD
• Christy P Karnbach
• Dino Kattato, CRNA
• Amy Joyce Keim
• Venus M Kell, NP-C
• Nicholas Kelly, MD
• Elaine G Kelpien Federico, LPC

• Community/Retail Pharmacy in Canton, GA
• Providers in Canton, 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 Aug 29, 2011; 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.