Well Green LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WELL GREEN LLC

Practice address

25 S White Horse Pike
Stratford, NJ 08084-1520

Phone

(856) 309-1212

NPI assigned

Jan 10, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Krunal Karavadia, RPH

Title

Pharmacist in Charge

Phone

(856) 309-1212

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DESI PHARMACY Doing business as

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547078400000",
    "number": "1114490281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S WHITE HORSE PIKE",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841520",
            "telephone_number": "856-309-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S WHITE HORSE PIKE",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841520",
            "telephone_number": "856-309-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL GREEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A",
        "authorized_official_last_name": "KARAVADIA",
        "authorized_official_first_name": "KRUNAL",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "856-309-1212",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY BOARD OF PHARMACY",
            "identifier": "28RS00769100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DESI PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jon Leonard Weber, RPH
• Keelyn Weber
• Meredith E Weber, PH.D, NCSP
• Andrea S. Weeks, PHARMD
• Monica B Weiner, M.D.
• Frank Anthony Wheeler, DO
• Christian Paul White, DO
• Joseph Arthur White, DO
• WHP Pharma LLC
• WHP Pharma LLC

• Community/Retail Pharmacy in Stratford, NJ
• Providers in Stratford, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.