Active NPI
Family Wellness Pharmacy LLC
- Community/Retail Pharmacy
- Duluth, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHRE010414
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lam Le
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003199366A | Medicaid | GA | |
| 003258370A | Medicaid | GA | |
| 2174455 | Other | PK |
Other names 1
- Saigon Pharmacare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, AL
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Duluth, GA
- NPI 1942024690
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.
-
- Pharmacist
- Duluth, GA
- NPI 1669782926
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.