Organization Active NPI

The Wellness Corner, LLC

  • Community/Retail Pharmacy
  • Prairieville, LA
National Provider Identifier
1104869981
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
114624 Issued in AL
Legal business name
THE WELLNESS CORNER, LLC
Practice address
17733 Old Jefferson Hwy
Prairieville, LA 70769-3934
Phone
(225) 677-8200
Fax
(225) 677-8201
NPI assigned
Jun 13, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Angie Huff, PHARMD
Title
Pic / Owner
Phone
(225) 677-8200

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
The Wellness Corner2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Specialties & licenses 15

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH31188 FL
Community/Retail Pharmacy 3336C0003X 054.020608 IL
Community/Retail Pharmacy 3336C0003X 29094 TX
Community/Retail Pharmacy 3336C0003X NRP.022798750-03 OH
Community/Retail Pharmacy 3336C0003X PHY.006397-IR LA
Community/Retail Pharmacy 3336C0003X LA2351 KY
Community/Retail Pharmacy 3336C0003X PHNR.FO.60798674 WA
Community/Retail Pharmacy 3336C0003X 64002439A IN
Community/Retail Pharmacy 3336C0003X 2041-43 WI
Community/Retail Pharmacy 3336C0003X 12670 NC
Community/Retail Pharmacy 3336C0003X 6121 TN
Community/Retail Pharmacy 3336C0003X 0214002006 VA
Community/Retail Pharmacy 3336C0003X 114624 AL Primary
Compounding Pharmacy 3336C0004X PHNR000397 GA
Home Infusion Therapy Pharmacy 3336H0001X 4881 IA

Addresses

NPPES NPI Registry

Primary practice location

17733 Old Jefferson Hwy
Prairieville, LA 70769-3934

Mailing address

17733 Old Jefferson Hwy
Prairieville, LA 70769-3934
Phone (225) 677-8200

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
2035271OtherPK

Other names 1

NPPES NPI Registry
  • TWC Compounding Specialist Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 19, 2018.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1104869981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17733 OLD JEFFERSON HWY",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693934",
            "telephone_number": "225-677-8200",
            "fax_number": "225-677-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17733 OLD JEFFERSON HWY",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693934",
            "telephone_number": "225-677-8200",
            "fax_number": "225-677-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLNESS CORNER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "HUFF",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "PIC / OWNER",
        "authorized_official_telephone_number": "225-677-8200",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH31188",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054.020608",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29094",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "NRP.022798750-03",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.006397-IR",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "LA2351",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHNR.FO.60798674",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "64002439A",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "2041-43",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "12670",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "6121",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0214002006",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "114624",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "GA",
            "license": "PHNR000397",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "IA",
            "license": "4881",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2035271",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TWC Compounding Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prairieville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.