Grace Pharmacy and Wellness LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GRACE PHARMACY AND WELLNESS LLC

Practice address

4404 Hugh Howell Rd Ste 17
Tucker, GA 30084-4916

Phone

(470) 508-0555

NPI assigned

Dec 31, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Gabriel Nwachukwu Aligwekwe, PHARMDNPI 1497299507

Title

Owner / Pharmacist in Charge

Phone

(470) 508-0555

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gabriel Aligwekwe, PHARMD

  • Pharmacist
  • Tucker, GA
  • NPI 1497299507
  NPD Authorized official

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577750400000",
    "number": "1982243499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 AUTUMN PATH WAY",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300787752",
            "telephone_number": "470-508-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 HUGH HOWELL RD STE 17",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844916",
            "telephone_number": "470-508-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE PHARMACY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-31",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A",
        "authorized_official_last_name": "ALIGWEKWE",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "NWACHUKWU",
        "authorized_official_title_or_position": "OWNER / PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "470-508-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blanca Zita Gonzalez-King, PT, CHT
• Samantha Gonzalez, LCSW
• Marissa Weiching Goolsby, PA-C
• Brenda Gordon
• Tatyana Gorokhov, M.D.
• Cathy Monique Grady, RN
• James A Granade III, D.M.D
• Grateful Hospice LLC
• Brittany Gray
• Monica Gray, LPC

• Community/Retail Pharmacy in Tucker, GA
• Providers in Tucker, 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 Dec 31, 2019; 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.