Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

PAVAN PUTRA PHARMACY INC
NPI 1144674193
Pharmacy - Community/Retail Pharmacy in Savannah, GA

Active since April 15, 2016CLIA 11D2211986 · Waiver
414 W BROUGHTON ST, SAVANNAH, GA 31401(912) 999-6101(912) 777-5953 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 17, 2026, Jul 25, 2023, Sep 23, 2016 and 1 more (4 updates tracked since 2016).

About Pavan Putra Pharmacy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAVAN PUTRA PHARMACY INC (NPI 1144674193), doing business as Apollo Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Savannah, Georgia and active in the NPI registry since April 2016. The organization holds a CLIA Waiver certificate valid through February 1, 2027 and lists Kaushal Patel, Owner, Pic, Ao, as its authorized official.

NPPES Registry Identity

NPI1144674193
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePAVAN PUTRA PHARMACY INC
Location Address414 W BROUGHTON STSavannah, GA 31401-3218
Mailing Address414 W Broughton StSavannah, GA 31401-3218 · (912) 999-6101 · Fax (912) 777-5953
Fax(912) 777-5953
Organization SubpartNo
Authorized OfficialKaushal PatelOwner, Pic, Ao · (912) 999-6101
Enumeration DateApril 15, 2016
Last NPPES UpdateJuly 17, 20264 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
NPI 1144674193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in GA · PHRE010288
Definition
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.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
414 W BROUGHTON ST, Savannah, GA 31401

Other Names 1

Doing Business AsApollo Pharmacy

Other Identifiers 2

Other2159627Pk
Medicaid003176661AGA

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2211986

Pavan Putra Pharmacy Inc, Dba Apollo Pharmacy · Savannah, GA
Active · expires Feb 1, 2027
CLIA Number11D2211986
Laboratory TypePharmacy
Certificate Effective DateFebruary 2, 2025
Certificate Expiration DateFebruary 1, 2027
Laboratory DirectorKaushal Patel
Laboratory Phone(912) 999-6101
Laboratory LocationPavan Putra Pharmacy Inc, Dba Apollo Pharmacy418 W Broughton Street, Savannah, GA 31401
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
13 services13 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
12 services12 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pavan Putra Pharmacy Inc's NPI number?

The NPI number for Pavan Putra Pharmacy Inc is 1144674193. It was assigned to this organization in the NPPES registry on April 15, 2016. The provider is doing business as Apollo Pharmacy.

Where is Pavan Putra Pharmacy Inc located?

Pavan Putra Pharmacy Inc is located at 414 W Broughton St, Savannah, GA 31401. The listed phone number is (912) 999-6101.

What is Pavan Putra Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Pavan Putra Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2211986) is associated with this NPI, valid through February 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pavan Putra Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Pavan Putra Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pavan Putra Pharmacy Inc was last updated on July 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.