| NPI | 1336402403 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2012-06-22 |
| Last Updated | 2020-02-24 |
| Authorized Official | Snehal Doshi Vice President of Pharmacy Phone: 6787631925 |
| Mailing Address | Po Box 742221 Atlanta, GA 30374-2221 United States 📍 View Map |
| Primary Practice Address | 4550 Cobb Parkway North Nw Acworth, GA 30101-4180 United States Phone: (470) 956-0005 | Fax: (866) 360-8999 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | GA | 003125316A | - |
| Other (non-Medicare) | - | 2135665 | PK |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | GA | PHRE009831 |
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About NPI 1336402403
Kennestone Hospital Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1336402403. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Acworth, GA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2012-06-22. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1336402403?
NPI 1336402403 belongs to Kennestone Hospital Inc, a Pharmacy, Community/Retail Pharmacy in Acworth, GA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1336402403 active?
The current status of NPI 1336402403 in the NPPES registry is Active. The record was last updated on 2020-02-24.
What specialty is NPI 1336402403?
NPI 1336402403 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1336402403?
You can verify NPI 1336402403 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1336402403?
The primary practice address on file for NPI 1336402403 is 4550 Cobb Parkway North Nw, Acworth, GA 30101-4180. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1336402403 issued?
NPI 1336402403 was first issued (enumerated) on 2012-06-22. The NPPES record was last updated on 2020-02-24.
Practice Location Map
Kennestone Hospital Inc is located at 4550 Cobb Parkway North Nw, Acworth, GA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Kennestone Hospital Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1336402403. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | PHRE009831 | GA |