KSYRX LLC (NPI# 1962823567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962823567 |
| Entity Type | Organization |
| Organization Name | KSYRX LLC |
| Other Organization Name | MAKO PHARMACY |
| Practice Address |
5050 Jimmy Carter Blvd Ste 350a Norcross GA 30093-2759 |
| Mailing Address |
Po Box 958277 Duluth GA 30095-9539 |
| Practice Telephone | 7706969146 |
| Practice Fax Number | 4702993159 |
| Mailing Telephone | 2817554922 |
| Mailing Fax Number | 4702993159 |
| Enumeration Date | 2013-12-27 |
| Last Update Date | 2013-12-27 |
| Authorized Official Name | IBRAHIM SYLLA (PIC) |
| Authorized Official Telephone | 7706969146 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHHH000060 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2143584 | 01 |
| Other Name | Type Code |
|---|---|
| Mako Pharmacy | Doing Business As Name - Organization |
| Street Address |
5050 JIMMY CARTER BLVD STE 350A |
| City | NORCROSS |
| State | GA |
| Zip Code | 30093-2759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517465 | Tequila Olivia Banks | Counselor | 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 | 2020-10-27 |
| 1922643485 | Anthony Ervin | Case Manager/Care Coordinator | 6251 Smithpoint Dr. Bldg B, Peachtree Corners, GA 30093 | 2019-11-08 |
| 1164908885 | Marianne Altares | Speech-Language Pathologist | 1709 Oakbrook Lake Dr, Norcross, GA 30093 | 2018-07-16 |
| 1518480763 | Braces Now 14, LLC | Dentist | 4141 Steve Reynolds Blvd, Suite 2, Norcross, GA 30093 | 2017-07-19 |
| 1457802902 | Audrey Fernandes | Dentist | 4846 Jimmy Carter Blvd, Suite 203, Norcross, GA 30093 | 2016-10-19 |
| 1922456318 | Diana Lleras | Counselor | 6020 Dawson Bld Suite I, Norcross, GA 30093 | 2016-05-26 |
| 1376941500 | Katerine Velez | Counselor | 6020 Dawson Blvd., Siute I, Norcross, GA 30093 | 2014-12-22 |
| 1679979017 | Allison Ballay Donnelly | Speech-Language Pathologist | 1626 Jeurgens Ct., Norcross, GA 30093 | 2014-11-12 |
| 1588913701 | Sunrise Pharmacy | Pharmacy | 1235 Indian Trail Rd, Suite 200a, Norcross, GA 30093 | 2012-09-04 |
| 1821347154 | Shakirah Forde | Counselor | 1770 Indian Trail Lilburn Rd Ste 120, Norcross, GA 30093 | 2012-08-31 |
| Find all providers in zip 30093 | ||||
| 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 |
|---|---|---|---|---|
| 1023437365 | Alpha Pharmacy & Wellness Center Inc. | Pharmacy | 3466 Holcomb Bridge Rd, Norcross, GA 30092-3108 | 2014-04-15 |
| 1588913701 | Sunrise Pharmacy | Pharmacy | 1235 Indian Trail Rd, Suite 200a, Norcross, GA 30093 | 2012-09-04 |
| 1285963280 | Vn Pharmacy #2 | Pharmacy | 5495 Jimmy Carter Blvd, Suite A-8, Norcross, GA 30093-1519 | 2009-12-22 |
| 1982708814 | Georgia Cvs Pharmacy, L.L.C. | Pharmacy | 5304 Buford Hwy, Norcross, GA 30071-2606 | 2006-09-12 |
| 1528161361 | Georgia Cvs Pharmacy LLC | Pharmacy | 7734 Spalding Dr, Norcross, GA 30092-4207 | 2006-09-07 |
| 1144235250 | Walgreen Co | Pharmacy | 5296 Jimmy Carter Blvd, Norcross, GA 30093-1603 | 2006-07-29 |
| 1952946816 | Rx Universal LLC | Pharmacy | 5555 Oakbrook Pkwy Ste 110, Norcross, GA 30093-2268 | 2019-11-14 |
| 1578087003 | Walgreen Co | Pharmacy | 5505 Buford Hwy, Norcross, GA 30071-3901 | 2017-07-26 |
| 1053664342 | View Point Health-norcross Center | Pharmacy | 5030 Georgia Belle Ct Ste 2036, Norcross, GA 30093-2667 | 2012-10-24 |
| 1710081633 | Georgia Cvs Pharmacy, L.L.C. | Pharmacy | 5095 Peachtree Pkwy, Norcross, GA 30092-2524 | 2006-09-12 |
| Find all providers in NORCROSS | ||||
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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.