KENNESTONE HOSPITAL INC NPI 1386943009

NPI Information

  • NPI: 1386943009
  • Provider Name: KENNESTONE HOSPITAL, INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: WELLSTAR PHARMACY NETWORK
  • Address: 3950 AUSTELL RD
    SUITE 8
    AUSTELL, GA
    ZIP 30106
  • Phone: (470) 732-2111

Map and Directions

Get Directions

NPI Details

KENNESTONE HOSPITAL, INC is a community/retail pharmacy pharmacy in Austell, GA. The provider is 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. KENNESTONE HOSPITAL, INC NPI is 1386943009. The provider is registered as an organization entity type.
The provider Is Doing Business As Wellstar Pharmacy Network.

The provider's business location address is:

3950 AUSTELL RD
SUITE 8
AUSTELL, GA
ZIP 30106-121
Phone: (470) 732-2111
Fax: (678) 495-8798

The provider's authorized official is Ebenezer Erzuah .
The authorized official title is Exec Director Reimbursement and has the following contact phone number (470) 956-4981.

The enumeration date for this NPI number is 3/21/2011 and was last updated on 5/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1003112057AMEDICAIDGEORGIA
22129620OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI