GWINNETT CLINIC LTD (NPI# 1558560326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558560326 |
| Entity Type | Organization |
| Organization Name | GWINNETT CLINIC LTD |
| Other Organization Name | BENZER PHARMACY |
| Practice Address |
475 Philip Blvd Suite 100 Lawrenceville GA 30045-8732 |
| Mailing Address |
475 Philip Blvd Ste 101 Lawrenceville GA 30046-8737 |
| Practice Telephone | 6782266212 |
| Practice Fax Number | 6782254036 |
| Mailing Telephone | 7709953300 |
| Mailing Fax Number | 7709950794 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2018-11-01 |
| Authorized Official Name | MR. JAYENDRAKUMAR J SHAH (PRESIDENT) |
| Authorized Official Telephone | 7709953300 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| BENZER PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629117650 | Gwinnett Clinic Ltd | Legal Medicine | 5330 Northwater Way, Duluth, GA 30097-2485 | 2007-02-06 |
| Street Address |
475 PHILIP BLVD SUITE 100 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045-8732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013965375 | Ned B. Armstrong | Orthopaedic Surgery | 475 Philip Blvd, Ste 100, Lawrenceville, GA 30046 | 2006-05-05 |
| 1568998177 | Rosa Garcia | Nurse Practitioner | 475 Philip Blvd, Ste 100, Lawrenceville, GA 30046-8737 | 2017-05-03 |
| 1497296990 | Kayla G Rosenberg | Nurse Practitioner | 475 Philip Blvd, Ste 100, Lawrenceville, GA 30046-8737 | 2017-03-16 |
| 1164979324 | Lora Stepp | Nurse Practitioner | 475 Philip Blvd, Ste 100, Lawrenceville, GA 30046-8737 | 2016-09-06 |
| 1275903981 | Jessica Etzkorn | Nurse Practitioner | 475 Philip Blvd, Unit 100, Lawrenceville, GA 30046-8737 | 2015-10-07 |
| 1801235817 | Mary Jeanette Draucek | Nurse Practitioner | 475 Philip Blvd, Ste 100, Lawrenceville, GA 30046-8737 | 2013-06-24 |
| 1114361458 | Deep Shah | Internal Medicine | 475 Philip Blvd, Ste 100, Lawrenceville, GA 30046-8737 | 2013-04-17 |
| 1972755650 | North Georgia Digestive Disease Consultants, LLC | Internal Medicine | 475 Philip Blvd, 304, Lawrenceville, GA 30046-8737 | 2008-10-14 |
| 1336328293 | Ambulatory Surgery Anesthesia LLC | Nurse Anesthetist, Certified Registered | 475 Philip Blvd, Suite 304, Lawrenceville, GA 30045-8737 | 2007-10-29 |
| 1184821753 | Eugene Hwang | Family Medicine | 475 Philip Blvd, Suite #100, Lawrenceville, GA 30046-8737 | 2007-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| Find all providers in zip 30045 | ||||
| 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 |
|---|---|---|---|---|
| 1235649716 | Lawrenceville Community Pharmacy, Inc | Pharmacy | 3157 Sugarloaf Pkwy Ste 103, Lawrenceville, GA 30045-9490 | 2017-10-10 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1912260555 | Neighbourhood Pharmacy LLC | Pharmacy | 150 Hurricane Shoals Rd Nw Ste G, Lawrenceville, GA 30046-4115 | 2012-06-19 |
| 1497011860 | Elle's Pharmacy | Pharmacy | 150 Hurricane Shoals Rd Nw, Suite G, Lawrenceville, GA 30046-4115 | 2012-04-10 |
| 1023389046 | Lawrenceville Discount Pharmacy LLC | Pharmacy | 905 Parkside Walk Ln Ste 108, Lawrenceville, GA 30043-7314 | 2012-01-23 |
| 1174852966 | Old Norcross Road Pharmacy LLC | Pharmacy | 558 Old Norcross Rd, Suite 201, Lawrenceville, GA 30046-4385 | 2009-12-08 |
| 1477637908 | New Jersey Cvs Pharmacy LLC | Pharmacy | 2721 Brunswick Pike, Lawrenceville, NJ 08648-4106 | 2006-10-24 |
| 1063504652 | New Jersey Cvs Pharmacy LLC | Pharmacy | 1900 Us Highway 1, Lawrenceville, NJ 08648-4604 | 2006-09-29 |
| 1336240159 | Eckerd Corporation | Pharmacy | 1097 Duluth Hwy, Lawrenceville, GA 30043-7310 | 2006-09-26 |
| 1114026382 | Eckerd Corporation | Pharmacy | 605 Highway 20 S, Lawrenceville, GA 30045-6333 | 2006-09-22 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
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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.