En Gedi RX, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

EN GEDI RX, LLC

Practice address

135 Weatherford Place
Roswell, GA 30075

Phone

(404) 210-1478

Fax

(888) 375-3346

NPI assigned

Dec 20, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Alan Greensmith

Title

Managing Director

Phone

(404) 210-1478

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ellen Weng

  • Pharmacist
  • Roswell, GA
  • NPI 1063124337
  NPD

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1932811197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 WEATHERFORD PLACE",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "30075",
            "telephone_number": "404-210-1478",
            "fax_number": "888-375-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 WEATHERFORD PLACE",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "30075",
            "telephone_number": "404-210-1478",
            "fax_number": "888-375-3346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EN GEDI RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "GREENSMITH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "404-210-1478",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Latrese Ellison, CNM
• Kenneth Mark Ellner, M.D.
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• Case Management Agency in Roswell, GA
• Providers in Roswell, GA by specialty
• Case Management Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.