Active NPI
Well Medical LLC
- Non-Pharmacy Dispensing Site
- Sheridan, WY
National Provider Identifier
1134826589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- Legal business name
- WELL MEDICAL LLC
- Practice address
- 30 N Gould St Ste 32677
Sheridan, WY 82801-6317 - Phone
- (307) 381-1405
- NPI assigned
- Feb 15, 2023
- 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
- Mohamed Elarbi
- Title
- Ceo/ President
- Phone
- (786) 694-7346
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
30 N Gould St Ste 32677
Sheridan, WY 82801-6317
Mailing address
30 N Gould St Ste 32677
Sheridan, WY 82801-6317
Phone (307) 381-1405
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676419200000",
"number": "1134826589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 N GOULD ST STE 32677",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828016317",
"telephone_number": "307-381-1405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N GOULD ST STE 32677",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828016317",
"telephone_number": "307-381-1405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELL MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-15",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A",
"authorized_official_last_name": "ELARBI",
"authorized_official_first_name": "MOHAMED",
"authorized_official_title_or_position": "CEO/ PRESIDENT",
"authorized_official_telephone_number": "786-694-7346"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"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 Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.