Well Mart & Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WELL MART & PHARMACY LLC

Practice address

2182 Lemoine Ave
Fort Lee, NJ 07024-6009

Phone

(201) 482-4705

Fax

(201) 482-4905

NPI assigned

Dec 9, 2020

Organization subpart

No

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

Authorized official

Name

Jeong In ParkNPI 1801484480

Title

Pic, Owner

Phone

(201) 482-4705

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

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

• Jeong In Park, PHARMACIST

  • Pharmacist
  • Fort Lee, NJ
  • NPI 1801484480
  NPD Authorized official

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1053917583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2182 LEMOINE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246009",
            "telephone_number": "201-482-4705",
            "fax_number": "201-482-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2182 LEMOINE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246009",
            "telephone_number": "201-482-4705",
            "fax_number": "201-482-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL MART & PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JEONG",
        "authorized_official_middle_name": "IN",
        "authorized_official_title_or_position": "PIC, OWNER",
        "authorized_official_telephone_number": "201-482-4705"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ PHARMACY LICENSE NUMBER",
            "identifier": "28RS00781700",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wellpharmacynj.com",
            "affiliation": "N",
            "address_1": "2182 Lemoine Ave",
            "city": "Fort Lee",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070246009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sung Bam Wee, PT
• Wees Physical Therapy and Wellness Clinic
• Alison Weiner, OTR/L
• Laura Weisberg, RD
• Ali N Weiselberg, DDS, FICOI
• Whidbey Island Public Hospital District
• Lawrence Jay White, DDS
• Tzvi Wolkenfeld, DPT, BA, BS
• Catherine Woo, D.D.S.
• Jinseok Woo

• Community/Retail Pharmacy in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.