Organization Active NPI

Wellstar North Fulton Hospital, Inc

  • Clinic Pharmacy
  • Roswell, GA
National Provider Identifier
1497638522
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
WELLSTAR NORTH FULTON HOSPITAL, INC
Practice address
3000 Hospital Blvd
Pharmacy Department
Roswell, GA 30076
Phone
(470) 644-0328
NPI assigned
Jul 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Ebenezer Erzuah
Title
Executive Director of Reimbursement
Phone
(470) 956-4981

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X Primary

Addresses

Primary practice location

3000 Hospital Blvd
Pharmacy Department
Roswell, GA 30076

Mailing address

793 Sawyer Rd
Marietta, GA 30062-2222

Other names 1

  • Wellstar North Fulton Retail Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wellstar North Fulton Hospital Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1497638522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 SAWYER RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 HOSPITAL BLVD",
            "address_2": "PHARMACY DEPARTMENT",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "30076",
            "telephone_number": "470-644-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSTAR NORTH FULTON HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "ERZUAH",
        "authorized_official_first_name": "EBENEZER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "470-956-4981"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellstar North Fulton Retail Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.