NPI age
14 years
Enumerated 2011-06-30
● Active Type 2 · Organization
Sugarloaf Pharmacy Inc
Sugarloaf Pharmacy Inc is 1 of 1965 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gourdikian
Pharmacy Director
Last NPPES update
2012-02-08
Source: monthly bulk 2026-05
How this organization compares
Across 1965 active pharmacy providers in Georgia.
NPI age
14 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 65% of peers with subspecialties
NPI lifetime · 2011 → 2026
2011-06Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
4825 Sugarloaf Pkwy Ste Bc
Lawrenceville, GA 300448800
Mailing address
4825 Sugarloaf Pkwy, Suite B
Lawrenceville, GA 300448800
Authorized official
Kerop Gourdikian, PHARM D
Pharmacy Director
📞 7702207770
Specialties
-
Pharmacy PrimaryA 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...
-
PharmacyA pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003116217A | |
| 01 | 1161594 | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Sugarloaf Pharmacy
Practice context
Single-site organization. Only one practice location on file.
Provyx · Custom healthcare lists
Need all 1965 Pharmacy providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.