Wellness Compounding Pharmacy

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

RP002452C0S Issued in OR

Legal business name

WELLNESS COMPOUNDING PHARMACY

Doing business as

Wellness Compounding Pharmacy

Practice address

522 Crater Lake Ave
Medford, OR 97504-6810

Phone

(541) 774-3939

Fax

(541) 774-3933

NPI assigned

Mar 7, 2008

Last updated

Sep 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angie Meeker, PHARMD

Title

President

Phone

(541) 301-1465

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• WELLNESS COMPOUNDING PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1063682805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 CRATER LAKE AVENUE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97504",
            "telephone_number": "541-774-3939",
            "fax_number": "541-774-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 CRATER LAKE AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046810",
            "telephone_number": "541-774-3939",
            "fax_number": "541-774-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS COMPOUNDING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "MEEKER",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-301-1465",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "OR",
            "license": "RP002452C0S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500738873",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2079579",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WELLNESS COMPOUNDING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany A Weldon
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• Wellness Psychology, LLC
• Wellness Recovery Center
• Heather Ann Wells, QMHA
• Kristin Wells
• Valerie Wells, RN

• Compounding Pharmacy in Medford, OR
• Providers in Medford, OR by specialty
• Compounding Pharmacy in Oregon

• 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.