Wellcare Pharmacy 3

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482622 Issued in PA

Legal business name

WELLCARE PHARMACY 3

Practice address

612-614 Snyder Ave
Philadelphia, PA 19148-4107

Phone

(215) 560-8161

Fax

(215) 608-8376

NPI assigned

Mar 1, 2016

Organization subpart

No

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

Authorized official

Name

Zengxing Li

Title

Cfo

Phone

(215) 560-8943

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Wellcare Pharmacy 3 Doing business as

Locations

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1043670276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612-614 SNYDER AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191484107",
            "telephone_number": "155-608-1612",
            "fax_number": "215-608-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612-614 SNYDER AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191484107",
            "telephone_number": "215-560-8161",
            "fax_number": "215-608-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE PHARMACY 3",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-01",
        "last_updated": "2025-09-19",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "ZENGXING",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "215-560-8943"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103091960 0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158426",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellcare Pharmacy 3",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellcare Pharmacy 3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.