Express Pharmacy Inc
NPI 1710392790ActiveOrganization· Pharmacy· Duluth, GA
Pharmacy in Duluth, Georgia, registered in NPPES in June 2014. The authorized official on file is Jo Seung Kim, RPH, Owner. Medicare paid $15,359 for services to 87 patients in 2024.
Overview
| NPI | 1710392790 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 27, 2014 |
| Last updated in NPPES | Nov 1, 2021 |
| Certified by provider | Nov 1, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | PHRE010069 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Pharmacy (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 87 |
|---|---|
| Services billed | 234 across 8 procedure codes |
| Paid by Medicare | $15,359 |
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