Organization Active NPI

VN Pharmacy LLLC

  • Community/Retail Pharmacy
  • Norcross, GA
National Provider Identifier
1285963280
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE009601 Issued in GA
Legal business name
VN PHARMACY LLLC
Practice address
5495 Jimmy Carter Blvd
Suite a-8
Norcross, GA 30093-1519
Phone
(770) 559-1831
Fax
(770) 837-0804
NPI assigned
Dec 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Mrs. Pauline VuongNPI 1679225726
Title
Owner
Phone
(770) 837-0804

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHRE009601 GA Primary

Addresses

Primary practice location

5495 Jimmy Carter Blvd
Suite a-8
Norcross, GA 30093-1519

Mailing address

5495 Jimmy Carter Blvd Ste A8
Norcross, GA 30093-1532
Phone (770) 837-0804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250909000044 GA DME Supplier - Pharmacy 9638383706 Practice locations: Norcross, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2177434VN Pharmacy5495 Jimmy Carter Boulevard a-8, Norcross, GA 30093Certificate of waiverJan 9, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
VN Pharamcy LLLC5495 Jimmy Carter Blvd, Norcross, GA 30093-1532(770) 837-0804 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchair Seating/Cushions|Nebulizer Equipment and/or Supplies|Surgical Dressings Does not accept assignmentParticipating since Jul 22, 2002

National Provider Directory

National Provider Directory

Locations

5495 Jimmy Carter Blvd
Ste A8
Norcross, GA 30093
Phone (770) 559-1831

4782 Jimmy Carter Blvd
Ste 7
Norcross, GA 30093
Phone (770) 717-0707

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1285963280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5495 JIMMY CARTER BLVD STE A8",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931532",
            "telephone_number": "770-837-0804",
            "fax_number": "770-559-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5495 JIMMY CARTER BLVD",
            "address_2": "SUITE A-8",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931519",
            "telephone_number": "770-559-1831",
            "fax_number": "770-837-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VN PHARMACY LLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-22",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "VUONG",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-837-0804",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.