Organization Active NPI

M-Well LLC

  • Community/Retail Pharmacy
  • Madison Heights, MI
National Provider Identifier
1073180386
Registry record updated Jun 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
M-WELL LLC
Practice address
32393 John R Rd
Madison Heights, MI 48071-1324
Phone
(734) 834-1038
NPI assigned
Jun 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2021

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

Authorized official

Name
Mr. Feng Guo, PHARM D
Title
Owner
Phone
(734) 834-1038

Specialties & licenses 1

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

Addresses

Primary practice location

32393 John R Rd
Madison Heights, MI 48071-1324

Mailing address

32393 John R Rd
Madison Heights, MI 48071-1324
Phone (734) 834-1038

Other names 1

  • M-Well Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220125001017 MI Part B Supplier - Mass Immunization (Roster Biller Only) 7214329275 Practice locations: Madison Heights, MI
O20220228001151 MI Part B Supplier - Pharmacy 7214329275 Practice locations: Madison Heights, MI

National Provider Directory

National Provider Directory

Locations

32393 John R Rd
Madison Heights, MI 48071
Phone (248) 588-0450

NPI Registry JSON

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

{
    "created_epoch": "1622937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622937600000",
    "number": "1073180386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32393 JOHN R RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711324",
            "telephone_number": "734-834-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32393 JOHN R RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711324",
            "telephone_number": "734-834-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M-WELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-06",
        "last_updated": "2021-06-06",
        "certification_date": "2021-06-06",
        "status": "A",
        "authorized_official_last_name": "GUO",
        "authorized_official_first_name": "FENG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-834-1038",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M-Well Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2021; 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.