Saigon Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

SAIGON PHARMACY LLC

Practice address

1165 Main St
Forest Park, GA 30297-1443

Phone

(770) 888-2235

NPI assigned

Nov 11, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lam Le

Title

Owner

Phone

(678) 765-8476

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SAIGON PHARMACARE Doing business as

Tax ID family

Saigon Pharmacare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Saigon Pharmacy LLC

  • Community/Retail Pharmacy
  • Forest Park, GA
  • NPI 1073135893
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vinh Mai, RPH

  • Pharmacy
  • Forest Park, GA
  • NPI 1033734140
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1013731769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 MAIN ST",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302971443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 MAIN ST",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302971443",
            "telephone_number": "770-888-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAIGON PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-10",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "LAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-765-8476"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003234388A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAIGON PHARMACARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Forest Park, GA
• Providers in Forest Park, GA by specialty
• Long Term Care Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.