Platinum Pharmacy LLC
NPI 1003391491 · Community/Retail Pharmacy · Fayetteville, GA
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Platinum Pharmacy LLC is a Community/Retail Pharmacy organization in Fayetteville, GA (NPI 1003391491).
Provider details
- NPI number
- 1003391491
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Samuel Obichi, Owner(404) 822-4505
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Platinum Pharmacy
Registry dates
- Enumerated
- 2018-10-01
- Last updated
- 2025-07-10
- Certified
- 2025-07-10
Frequently asked questions
- What is Platinum Pharmacy LLC's NPI number?
- Platinum Pharmacy LLC's National Provider Identifier (NPI) is 1003391491, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Platinum Pharmacy LLC?
- Platinum Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Platinum Pharmacy LLC located?
- Platinum Pharmacy LLC's practice location on file with NPPES is 935 Lanier Ave W Ste 1008, Fayetteville, GA 30214-7434.
- What is Platinum Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Platinum Pharmacy LLC is (404) 902-5811.
- Does Platinum Pharmacy LLC accept Medicare?
- Platinum Pharmacy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Platinum Pharmacy LLC?
- The authorized official listed on Platinum Pharmacy LLC's NPPES record is Samuel Obichi, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Platinum Pharmacy LLC's NPI active?
- Yes — Platinum Pharmacy LLC's NPI (1003391491) is active in the NPPES registry as of the last update on 2025-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.