PAVAN PUTRA PHARMACY INC (NPI# 1144674193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144674193 |
| Entity Type | Organization |
| Organization Name | PAVAN PUTRA PHARMACY INC |
| Other Organization Name | APOLLO PHARMACY |
| Practice Address |
418 W Broughton St Savannah GA 31401-3218 |
| Practice Telephone | 9129996101 |
| Practice Fax Number | 9127775953 |
| Mailing Telephone | 9129996101 |
| Mailing Fax Number | 9127775953 |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2016-09-23 |
| Authorized Official Name | KAUSHAL PATEL (OWNER, PIC, AO) |
| Authorized Official Telephone | 9129996101 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHRE010288 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2159627 | 01 | |
| GA | 003176661A | 05 |
| Other Name | Type Code |
|---|---|
| Apollo Pharmacy | Doing Business As Name - Organization |
| Street Address |
418 W BROUGHTON ST |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31401-3218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760031470 | Leslie Beatrice Dixon | Technician | 1109 Harmon Street, Savannah, GA 31401 | 2019-09-05 |
| 1912444621 | Sarah Kristen Shuman | Counselor | 140 East 40th St, Savannah, GA 31401 | 2017-01-20 |
| 1427591791 | Catherine Naomi Spann | Licensed Practical Nurse | 107 B Fahm Street, Savannag, GA 31401 | 2016-11-18 |
| 1871952499 | Jesline Palmer | Case Manager/Care Coordinator | 466 Martin Luther King Blvd, Savanah, GA 31401 | 2016-02-11 |
| 1487012894 | Suzanne Waltman Coote | Social Worker | 127 Abercorn St, Suite 301b, Savannah, GA 31401 | 2016-02-01 |
| 1356748032 | Beverly Weaver | Registered Nurse | 107 B Fahm St., Savannah, GA 31401 | 2014-11-25 |
| 1275938011 | Olukemi Olubajo | Dietitian, Registered | 125 Fahm Street, J C Lewis Primary Health Care Center, Savannah, GA 31401 | 2014-10-22 |
| 1346642279 | Kristin Jaski | Social Worker | 127 Abercorn St, Suite 301b, Savannah, GA 31401 | 2014-09-23 |
| 1528497500 | Kathleen Alice Flynn | Nurse Practitioner | 1900 Abercorn Street, Suite 100, Savannah, GA 31401 | 2013-11-11 |
| 1306112248 | Elizabeth Windom Stewart | Nurse Practitioner | 300 Bull St Ste 102, Savannah, GA 31401 | 2012-03-26 |
| Find all providers in zip 31401 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312344 | Nightingale Pharmacy Inc. | Pharmacy | 9100 White Bluff Rd Ste 604, Savannah, GA 31406-4674 | 2020-07-01 |
| 1811373491 | Carroll Pharmacy | Pharmacy | 835 Pickwick St, Savannah, TN 38372-3006 | 2015-08-05 |
| 1245320233 | Rx, Inc | Pharmacy | 11155 Abercorn St, Savannah, GA 31405 | 2006-10-13 |
| 1144321076 | Quickrx Drugs, Inc | Pharmacy | 911 E 65th St, Savannah, GA 31405-4412 | 2006-09-25 |
| 1215030960 | Georgia Cvs Pharmacy LLC | Pharmacy | 119 Bull St, Savannah, GA 31401-3312 | 2006-09-07 |
| 1871696393 | Georgia Cvs Pharmacy LLC | Pharmacy | 4725 Waters Ave, Savannah, GA 31404-6219 | 2006-09-07 |
| 1356444111 | Georgia Cvs Pharmacy LLC | Pharmacy | 4717 C East Hwy 80, Savannah, GA 31410 | 2006-09-07 |
| 1942303698 | Georgia Cvs Pharmacy LLC | Pharmacy | 712 Stephenson Ave, Savannah, GA 31405-5975 | 2006-09-07 |
| 1093818452 | Georgia Cvs Pharmacy LLC | Pharmacy | 150 Johnny Mercer Blvd, Savannah, GA 31410-2102 | 2006-09-07 |
| 1316952427 | Walgreen Co | Pharmacy | 700 E Derenne Ave, Savannah, GA 31405-6716 | 2006-07-29 |
| Find all providers in SAVANNAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.