KENNESTONE HOSPITAL, INC
NPI 1275221095
Pharmacy - Clinic Pharmacy in Marietta, GA

Active since April 28, 2023
115 CHERRY ST NE, MARIETTA, GA 30060(470) 644-0328 Get Directions Write a Review

NPPES record last updated: April 28, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kennestone Hospital, Inc NPPES

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

KENNESTONE HOSPITAL, INC (NPI 1275221095), doing business as Wellstar Pharmacy Network, is a healthcare organization registered as a clinic pharmacy in Marietta, Georgia and active in the NPI registry since April 2023. The organization lists Ebenezer Erzuah, Exec. Director Reimbursement, as its authorized official.

NPPES Registry Identity

NPI1275221095
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameKENNESTONE HOSPITAL, INC
Location Address115 CHERRY ST NEMarietta, GA 30060-7205
Mailing Address793 Sawyer RdMarietta, GA 30062-2222
Organization SubpartNo
Authorized OfficialEbenezer ErzuahExec. Director Reimbursement · (470) 956-4981
Enumeration DateApril 28, 2023
NPPES CertifiedApril 28, 2023
NPI 1275221095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

115 CHERRY ST NE, Marietta, GA 30060

Other Names 1

Doing Business AsWellstar Pharmacy Network

Accepted Insurance

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
115 CHERRY ST NE
MARIETTA, GA 30060
Physician Assistant
115 CHERRY ST NE
MARIETTA, GA 30060
Physician Assistant
115 CHERRY ST NE
MARIETTA, GA 30060
Physician Assistant
115 CHERRY ST NE
MARIETTA, GA 30060
Emergency Medicine
115 CHERRY ST NE
MARIETTA, GA 30060
Student in an Organized Health Care Education/Training Program
115 CHERRY ST NE
MARIETTA, GA 30060
Student in an Organized Health Care Education/Training Program
115 CHERRY ST NE
MARIETTA, GA 30060
Emergency Medicine
115 CHERRY ST NE
MARIETTA, GA 30060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275221095, enumerated as an "organization" on April 28, 2023.

The provider is located at 115 CHERRY ST NE MARIETTA, GA 30060 and the phone number is (470) 644-0328.

Pharmacy with taxonomy code 3336C0002X and a focus in Clinic Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.