Organization
KENNISON PHARMACY, LLC
Active
Parent organization
KENNISON PHARMACY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KENNISON PHARMACY, LLC
Authorized official
KENNETH KWARTENG (PRESIDENT)
(404) 789-0048
Entity
Organization
Contact information
Practice address
4050 BUFORD DRIVE, BUFORD, GA 30518-3438
(678) 288-9798
(678) 288-9839
Mailing address
1600 PINEHURST VIEW DRIVE, GRAYSON, GA 30017-7912
(404) 789-0048
(678) 288-9839
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003218175A
—
GA
Enumeration date
08/08/2022
Last updated
03/19/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us