Green Wellness RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GREEN WELLNESS RX LLC

Practice address

1500 Peachtree Industrial Blvd Ste 140
Suwanee, GA 30024-8489

Phone

(706) 825-8182

NPI assigned

Oct 22, 2025

Last updated

Oct 22, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samir Shah, PHARMDNPI 1851724751

Title

Owner

Phone

(706) 825-8182

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samir Shah, PHARMD

  • Pharmacist
  • Flowery Branch, GA
  • NPI 1851724751
  NPD Authorized official

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1356218333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3479 LILY MAGNOLIA CT",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305193858",
            "telephone_number": "706-825-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PEACHTREE INDUSTRIAL BLVD STE 140",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300248489",
            "telephone_number": "706-825-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN WELLNESS RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-825-8182",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Gormally, M.A., CCC-SLP
• Elena M Grant, LPC
• Cody Gray, DMD
• Rita Grayson, LCSW
• Greater Atlanta Monitoring, LLC
• Adriane Green, MA, CCC-SLP
• Cynthia S Green, SLP
• Jeri Sansom Green, MS, LPC
• Nykol Green
• Toni Green, NP

• Community/Retail Pharmacy in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.