15MINRX – NPI #1104551092
Pharmacy

A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.

15MINRX is a pharmacy located in SAINT MARYS, GA. NPPES has assigned the NPI number 1104551092 to 15MINRX on July 23, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “15MINRX” is a dba name, the actual legal business name for this organization is SAKS GA LLC. The primary taxonomy selected by this provider is 3336C0004X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Compounding Pharmacy

The NPI profile was previously updated about 2 years ago on Feb 16, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 15MINRX below.

NPI Profile for
SAKS GA LLC

NPI Number
1104551092
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAKS GA LLC
Doing Business As (dba): 15MINRX
Primary location
2714 OSBORNE RD STE K
SAINT MARYS, GA 31558-4050
Phone: (904) 368-6785 Fax:
Mailing address
PO BOX 600841
SAINT JOHNS, FL 32260-0841
Phone: Fax:
Organization Subpart
No
Authorized Official
GUNJAN WADHWA
AO
Phone: (912) 226-7622
Updated
Certification Date
Feb 16, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0004X
- Pharmacy / Compounding Pharmacy (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.