Organization Active NPI

Family Wellness Pharmacy LLC

  • Community/Retail Pharmacy
  • Duluth, GA
National Provider Identifier
1891209615
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE010414 Issued in GA
Legal business name
FAMILY WELLNESS PHARMACY LLC
Practice address
1630 Pleasant Hill Rd # C4
Duluth, GA 30096-5899
Phone
(678) 765-8476
Fax
(678) 765-8479
NPI assigned
Dec 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Authorized official

Name
Lam LeNPI 1669782926
Title
Owner
Phone
(678) 765-8476

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X PHRE010414 GA Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

1630 Pleasant Hill Rd # C4
Duluth, GA 30096-5899

Mailing address

3118 Prestwyck Haven Dr
Duluth, GA 30097-4303
Phone (678) 765-8476

Other identifiers 3

IdentifierTypeStateIssuer
003199366AMedicaidGA
003258370AMedicaidGA
2174455OtherPK

Other names 1

  • Saigon Pharmacare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20180409002370 GA DME Supplier - Pharmacy 2466715289 Practice locations: Duluth, GA
O20180817001976 GA Part B Supplier - Pharmacy 2466715289 Practice locations: Duluth, GA
O20210825003045 AL Part B Supplier - Independent Clinical Laboratory 2466715289 Practice locations: Duluth, GA

National Provider Directory

National Provider Directory
Tax ID family
Family Wellness Pharmacy LLC2 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.

Locations

1630 Pleasant Hill Rd
#C4
Duluth, GA 30096
Phone (678) 765-8476

1630 Pleasant Hill Rd
Ste C4
Duluth, GA 30096
Phone (678) 765-8476

Practitioners & affiliated clinicians

Practitioners 1

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": "1512086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1891209615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 PRESTWYCK HAVEN DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974303",
            "telephone_number": "678-765-8476",
            "fax_number": "678-765-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 PLEASANT HILL RD # C4",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965899",
            "telephone_number": "678-765-8476",
            "fax_number": "678-765-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY WELLNESS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-01",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE010414",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003199366A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003258370A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2174455",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saigon Pharmacare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.