Active NPI
Daniel Wells
- Pharmacist
- Beckley, WV
National Provider Identifier
1104209873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0009248
- Practice address
- 2933 Robert C Byrd Dr
Beckley, WV 25801-4447 - Phone
- (304) 252-0531
- NPI assigned
- Jun 30, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP0009248 | WV | Primary |
Addresses
Primary practice location
2933 Robert C Byrd Dr
Beckley, WV 25801-4447
Mailing address
659 Shenandoah Ave
Bluefield, WV 24701-4621
Phone (304) 952-3365
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP0009248 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluewells Family Pharmacy Inc | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Bluefield, WV
- NPI 1972523629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435622400000",
"number": "1104209873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "659 SHENANDOAH AVE",
"city": "BLUEFIELD",
"state": "WV",
"postal_code": "247014621",
"telephone_number": "304-952-3365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2933 ROBERT C BYRD DR",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258014447",
"telephone_number": "304-252-0531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "DANIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-30",
"last_updated": "2015-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0009248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.