Active NPI
Wellmed Supply LLC
- Dialysis Equipment & Supplies (DME)
- Sheridan, WY
National Provider Identifier
1093574972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dialysis Equipment & Supplies (DME)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.