NPIMap

Organization Active NPI

Wellness Pharmacy

  • Community/Retail Pharmacy
  • Baton Rouge, LA
National Provider Identifier
1073136602
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WELLNESS PHARMACY
Practice address
12716 Perkins Rd
Baton Rouge, LA 70810-1910
Phone
(225) 256-3083
Fax
(225) 256-3870
NPI assigned
May 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Rogers Cooper
Title
Owner
Phone
(409) 466-7925

Specialties & licenses 1

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

Addresses

Primary practice location

12716 Perkins Rd
Baton Rouge, LA 70810-1910

Mailing address

36495 Retreat LN
Prairieville, LA 70769-3479
Phone (409) 466-7925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200819000262 LA Part B Supplier - Pharmacy 5698191898 Practice locations: Baton Rouge, LA

National Provider Directory

National Provider Directory

Locations

12716 Perkins Rd
Baton Rouge, LA 70810
Phone (225) 256-3083

NPI Registry JSON

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1073136602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36495 RETREAT LN",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693479",
            "telephone_number": "409-466-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12716 PERKINS RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101910",
            "telephone_number": "225-256-3083",
            "fax_number": "225-256-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-18",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "ROGERS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-466-7925"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.