NPIMap

Organization Active NPI

Familee's Pharmacy

  • Pharmacist
  • Duluth, GA
National Provider Identifier
1417934506
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHRE007497 Issued in GA
Legal business name
FAMILEE'S PHARMACY
Practice address
2442 Pleasant Hill Rd
Suite #7
Duluth, GA 30096-1700
Phone
(770) 936-8222
NPI assigned
Dec 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Gregory Sang Lee
Title
Owner
Phone
(770) 936-8222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X PHRE007497 GA Primary

Addresses

Primary practice location

2442 Pleasant Hill Rd
Suite #7
Duluth, GA 30096-1700

Mailing address

2442 Pleasant Hill Rd
Suite #7
Duluth, GA 30096-1700
Phone (770) 936-8222

Other identifiers 2

IdentifierTypeStateIssuer
00536379AMedicaidGA
1139179OtherGANABP

National Provider Directory

National Provider Directory

Locations

2442 Pleasant Hill Rd
Ste 7
Duluth, GA 30096
Phone (678) 417-0100

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1417934506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 PLEASANT HILL RD",
            "address_2": "SUITE #7",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961700",
            "telephone_number": "770-936-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2442 PLEASANT HILL RD",
            "address_2": "SUITE #7",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961700",
            "telephone_number": "770-936-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILEE'S PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "SANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-936-8222"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "PHRE007497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00536379A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1139179",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.