KENNESTONE HOSPITAL INC (NPI# 1336402403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336402403 |
| Entity Type | Organization |
| Organization Name | KENNESTONE HOSPITAL INC |
| Other Organization Name | WELLSTAR PHARMACY NETWORK #7 |
| Practice Address |
4550 Cobb Parkway North Nw Acworth GA 30101-4180 |
| Mailing Address |
Po Box 742221 Atlanta GA 30374-2221 |
| Practice Telephone | 4709560005 |
| Practice Fax Number | 8663608999 |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2020-02-24 |
| Authorized Official Name | SNEHAL DOSHI (VICE PRESIDENT OF PHARMACY) |
| Authorized Official Telephone | 6787631925 |
| Authorized Official Credential | BSPHARM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHRE009831 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2135665 | 01 | |
| GA | 003125316A | 05 |
| Other Name | Type Code |
|---|---|
| WellStar Pharmacy Network #7 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699177428 | Kennestone Hospital Inc | Pharmacy | 3747 Roswell Rd, Marietta, GA 30062-6215 | 2014-09-24 |
| 1437458171 | Kennestone Hospital Inc | Pharmacy | 677 Church St Ne, Marietta, GA 30060-1101 | 2011-03-21 |
| Street Address |
4550 COBB PARKWAY NORTH NW |
| City | ACWORTH |
| State | GA |
| Zip Code | 30101-4180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629133103 | Osagie Osarume Okundaye | Internal Medicine | 4550 Cobb Parkway North Nw, Suite 213, Acworth, GA 30101-4180 | 2006-12-26 |
| 1760815732 | Wellstar Medical Group, LLC | Surgery | 4550 Cobb Parkway North Nw, Acworth, GA 30101-4180 | 2013-08-14 |
| 1467897173 | Sarah Ann Freeman | Physician Assistant | 4550 Cobb Parkway North Nw, Suite 101, Acworth, GA 30101-4180 | 2013-05-08 |
| 1003171422 | Wellstar Medical Group, LLC | Internal Medicine | 4550 Cobb Parkway North Nw, Suite 201b, Acworth, GA 30101-4180 | 2012-07-11 |
| 1033483458 | Bobby Joel Treadwell Jr. | Physician Assistant | 4550 Cobb Parkway North Nw, Suite 309b, Acworth, GA 30101-4180 | 2012-03-02 |
| 1942506654 | Wellstar Medical Group, LLC | Family Medicine | 4550 Cobb Parkway North Nw, Suite 201, Acworth, GA 30101-4180 | 2011-01-28 |
| 1962680991 | Daniel Judah Holtz | Surgery | 4550 Cobb Parkway North Nw, Suite #309b, Acworth, GA 30101-4180 | 2008-02-01 |
| 1689796963 | Wendy Fotopoulos | Audiologist | 4550 Cobb Parkway North Nw, Acworth, GA 30101-4180 | 2007-04-06 |
| 1225178825 | Ebon Anthony Bourne | Internal Medicine | 4550 Cobb Parkway North Nw, Suite 205, Acworth, GA 30101-4143 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952931552 | A3j Incorporated | Registered Nurse | 3905 Cobb Pkwy Nw Ste 305, Acworth, GA 30101 | 2020-01-22 |
| 1043869852 | Sharron Leigh Lipscomb | Acupuncturist | 3661 Cedarcrest Rd Ste 320, Acworth, GA 30101 | 2019-09-05 |
| 1699322933 | Cowry Home Dialysis LLC | Durable Medical Equipment & Medical Supplies | 4450 Calibre Crossings Nw, Suite # 1122, Acworth, GA 30101 | 2019-08-21 |
| 1760979595 | Sandra Jeanetta Pugh | Counselor | 118 Clubhouse Crossing, Acworth, GA 30101 | 2018-04-17 |
| 1679926950 | Cindy Hatfield Fruits | Psychologist | 4839 N. Main Street, Acworth, GA 30101 | 2016-07-21 |
| 1396192563 | Philip Young | Specialist/Technologist | 4841 Lake Park Lane, Acworth, GA 30101 | 2016-05-18 |
| 1770960619 | Karen Fuller | Marriage & Family Therapist | 2487 Cedarcrest Rd Ste 722, Acworth, GA 30101 | 2015-04-29 |
| 1366830333 | Willard Hogan IIi | Physician Assistant | 1720 Mars Hill Rd Nw Ste 8-175, Acworth, GA 30101 | 2014-12-29 |
| 1386042083 | Sebastian Diaz Fischer | Chiropractor | 2639 Hickory Grove Rd, Suit 150, Ackworth, GA 30101 | 2014-12-11 |
| 1841699337 | J Chappell Md PC | Dermatology | 4450 Calibre Crossings, Suite 1208, Acworth, GA 30101 | 2014-08-20 |
| Find all providers in zip 30101 | ||||
| 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 |
|---|---|---|---|---|
| 1851865893 | Rx Mart Pharmacy | Pharmacy | 3485 Acworth Due West Rd Nw Ste 130, Acworth, GA 30101-3865 | 2019-01-13 |
| 1033522644 | Dollar Prescription Shop Too | Pharmacy | 2151 Cedarcrest Rd, Acworth, GA 30101 | 2014-06-11 |
| 1306851514 | Walgreen Co | Pharmacy | 1762 Mars Hill Rd Nw, Acworth, GA 30101-8091 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922441 | Southern Pharmacy Group LLC | Pharmacy | 110 Allison St., Jesup, GA 31545 | 2020-11-04 |
| 1184225526 | Svdp Georgia Community Pharmacy LLC | Pharmacy | 2050 Chamblee Tucker Rd Ste C, Chamblee, GA 30341-3343 | 2020-11-03 |
| 1194325860 | Panola Pharmacy LLC | Pharmacy | 2348 Panola Rd Unit C, Lithonia, GA 30058-5406 | 2020-10-30 |
| 1659971539 | Bob and Jeff's Hometown Pharmacy of Thomasville, LLC | Pharmacy | 309 Smith Ave, Thomasville, GA 31792-5534 | 2020-10-29 |
| 1679171979 | Dfg LLC | Pharmacy | 638 Historic Hwy 441 Suite A, Demorest, GA 30530 | 2020-10-09 |
| 1033716915 | Au Medical Center, Inc. | Pharmacy | 818 Saint Sebastian Way Ste 402, Augusta, GA 30901-2654 | 2020-10-05 |
| 1043817208 | Mlk Pharmacy2.0 | Pharmacy | 2457 Mlk Jr Dr Sw Ste A, Atlanta, GA 30311-1712 | 2020-10-01 |
| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
| 1205446341 | Sunny Pharmacy | Pharmacy | 5364 Jonesboro Rd, Lake City, GA 30260-3557 | 2020-08-04 |
| 1841818044 | Hospital Authority of Miller County | Pharmacy | 213 Delores Street, Colquitt, GA 39837 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
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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.