Welu Healthcare Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

60239338 Issued in WA

Legal business name

WELU HEALTHCARE INC

Practice address

31840 Pacific Hwy S
Ste a-2
Federal Way, WA 98003-5450

Phone

(253) 839-1399

Fax

(253) 839-1477

NPI assigned

Jul 15, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Yongjoo Shim, RPHNPI 1366811531

Title

Owner

Phone

(253) 839-1399

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Highland Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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

• Yongjoo Shim, RPH

  • Pharmacist
  • Federal Way, WA
  • NPI 1366811531
  NPD (past) Authorized official
• Pup-Shin Park, RPH.

  • Pharmacist
  • Federal Way, WA
  • NPI 1407103310
  NPD (past)

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645401600000",
    "number": "1043474489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31840 PACIFIC HWY S",
            "address_2": "STE A-2",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035450",
            "telephone_number": "253-839-1399",
            "fax_number": "253-839-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31840 PACIFIC HWY S",
            "address_2": "STE A-2",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035450",
            "telephone_number": "253-839-1399",
            "fax_number": "253-839-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELU HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A",
        "authorized_official_last_name": "SHIM",
        "authorized_official_first_name": "YONGJOO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-839-1399",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "60239338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2132236",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043474489",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Highland Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.