Organization Active NPI

Wellpharma LLC

  • Community/Retail Pharmacy
  • Randallstown, MD
National Provider Identifier
1003585373
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WELLPHARMA LLC
Practice address
9818 Liberty Rd Ste B
Randallstown, MD 21133-2038
Phone
(410) 698-9068
NPI assigned
Sep 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Dr. Zahraa M Babiker Mohammed, PHARM D
Title
Owner
Phone
(410) 698-9068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

9818 Liberty Rd Ste B
Randallstown, MD 21133-2038

Mailing address

9818 Liberty Rd Ste B
Randallstown, MD 21133-2038
Phone (410) 698-9068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220920000582 MD Part B Supplier - Pharmacy 1658756127 Practice locations: Randallstown, MD
O20230118000009 MD Part B Supplier - Independent Clinical Laboratory 1658756127 Practice locations: Randallstown, MD

National Provider Directory

National Provider Directory
Tax ID family
Wellpharma LLC3 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": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1003585373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9818 LIBERTY RD STE B",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211332038",
            "telephone_number": "410-698-9068",
            "fax_number": "410-698-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9818 LIBERTY RD STE B",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211332038",
            "telephone_number": "410-698-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLPHARMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "BABIKER MOHAMMED",
        "authorized_official_first_name": "ZAHRAA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-698-9068",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randallstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.