Organization Active NPI

Wellmed Supply LLC

  • Dialysis Equipment & Supplies (DME)
  • Sheridan, WY
National Provider Identifier
1093574972
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dialysis Equipment & Supplies (DME)Taxonomy code 332BD1200X
Legal business name
WELLMED SUPPLY LLC
Practice address
1095 Sugarview Dr Ste 500
Sheridan, WY 82801-5386
Phone
(510) 423-0887
NPI assigned
Mar 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Waseem Akram
Title
Owner
Phone
(469) 915-5044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dialysis Equipment & Supplies (DME) 332BD1200X Primary

Addresses

Primary practice location

1095 Sugarview Dr Ste 500
Sheridan, WY 82801-5386

Mailing address

701 Tillery St Unit 12-1770
Austin, TX 78702-3738

National Provider Directory

National Provider Directory

Locations

701 Tillery St
Unit 121770
Austin, TX 78702

1095 Sugarview Dr
Ste 500
Sheridan, WY 82801
Phone (510) 423-0887

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1093574972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TILLERY ST UNIT 12-1770",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 SUGARVIEW DR STE 500",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015386",
            "telephone_number": "510-423-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLMED SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "AKRAM",
        "authorized_official_first_name": "WASEEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-915-5044"
    },
    "taxonomies": [
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.