Defelicecare, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

ST0552267 Issued in WV

Legal business name

DEFELICECARE, INC.

Doing business as

DeFelice Mobility

Practice address

76 Sixteenth St
200
Wheeling, WV 26003-3660

Phone

(304) 232-4210

Fax

(304) 232-4212

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Leslie Defelice

Title

President & Ceo

Phone

(304) 232-4210

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• DeFelice Mobility Doing business as

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1083820229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 SIXTEENTH ST",
            "address_2": "200",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033660",
            "telephone_number": "304-232-4210",
            "fax_number": "304-232-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 SIXTEENTH ST",
            "address_2": "200",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033660",
            "telephone_number": "304-232-4210",
            "fax_number": "304-232-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEFELICECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "DEFELICE",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "304-232-4210",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "ST0552267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0147477000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2171395",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeFelice Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madhurima Debnath, MD
• Decaria Brothers Inc
• Benjamin Robert Decker
• Brittany Decrease
• Defelicecare Inc
• John L Defilippo, M.D.
• Tonya Degarmo
• Mindy Sue Degroen
• Miriam Theresa Deinhardt, LPN
• Joseph Gino Del Zotto

• Community/Retail Pharmacy in Wheeling, WV
• Providers in Wheeling, WV by specialty
• Community/Retail Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.