Fayette Pharmacy LLC
NPI 1902644917 · Community/Retail Pharmacy · Fayetteville, GA
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fayette Pharmacy LLC is a Community/Retail Pharmacy organization in Fayetteville, GA (NPI 1902644917).
Provider details
- NPI number
- 1902644917
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Adewale Bello, Owner(404) 302-7788
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Registry dates
- Enumerated
- 2024-07-16
- Last updated
- 2024-07-16
- Certified
- 2024-07-16
Frequently asked questions
- What is Fayette Pharmacy LLC's NPI number?
- Fayette Pharmacy LLC's National Provider Identifier (NPI) is 1902644917, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fayette Pharmacy LLC?
- Fayette Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Fayette Pharmacy LLC located?
- Fayette Pharmacy LLC's practice location on file with NPPES is 600 Lanier Ave W Ste 203, Fayetteville, GA 30214-1833.
- What is Fayette Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Fayette Pharmacy LLC is (678) 470-4280.
- Does Fayette Pharmacy LLC accept Medicare?
- Fayette 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 Fayette Pharmacy LLC?
- The authorized official listed on Fayette Pharmacy LLC's NPPES record is Adewale Bello, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fayette Pharmacy LLC's NPI active?
- Yes — Fayette Pharmacy LLC's NPI (1902644917) is active in the NPPES registry as of the last update on 2024-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.