Gwinnett Supply Company LLC
NPI 1053881623ActiveOrganization· Pharmacy· Lawrenceville, GA
Pharmacy in Lawrenceville, Georgia, registered in NPPES in November 2018. The authorized official on file is Parmi Shah, Administrator. Enrolled in Medicare as part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1053881623 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 27, 2018 |
| Last updated in NPPES | Feb 27, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (GA) |
|---|
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