Yjn Diamondline Holdings
Pharmacy, Community/Retail Pharmacy in Johns Creek, GA. Organization (NPI-2).
NPI number1730006636
StatusActive
Last updated in NPPESOct 7, 2026
Details
- NPI
- 1730006636
- Entity type
- Organization (NPI-2)
- Legal business name
- Yjn Diamondline Holdings
- Organization subpart
- No
- Enumeration date
- Jul 1, 2026
- Certification date
- Oct 7, 2026
- Last updated
- Oct 7, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Practice location
5805 State Bridge Rd Ste G74Johns Creek, GA 30097-8220
Phone 786-509-5082
Mailing address
5805 State Bridge Rd Ste G74Johns Creek, GA 30097-8220
Phone 786-509-5082
Authorized official
Olgens Cyrus
Owner
7865095082
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 9 Community/Retail Pharmacy providers in Johns Creek · All 1,177 providers in Johns Creek
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