Active NPI
Wells Specialty Pharmacy Inc
- Home Infusion Agency
- Winter Park, FL
National Provider Identifier
1164980660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Agency
- Legal business name
- WELLS SPECIALTY PHARMACY INC
- Practice address
- 3796 Howell Branch Rd
Winter Park, FL 32792-1740 - Phone
- (407) 671-8070
- Fax
- (407) 671-7960
- NPI assigned
- Mar 4, 2019
- 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
- Colleen S Shapiro
- Title
- President
- Phone
- (844) 442-9482
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | Primary | ||
| Home Infusion Therapy Pharmacy | 3336H0001X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
3796 Howell Branch Rd
Winter Park, FL 32792-1740
Mailing address
3796 Howell Branch Rd
Winter Park, FL 32792-1740
Phone (407) 671-8070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Home infusion therapy
- Medicare-enrolled home infusion therapy supplier
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930041478 | FL | DME Supplier - Pharmacy | 6800946963 |
1 other NPI on this enrollment Practice locations: Winter Park, FL |
| O20240213000467 | FL | Part B Supplier - Home Infusion Therapy Supplier | 6800946963 | Practice locations: Winter Park, FL |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Wells Specialty Pharmacy
- Home Infusion Therapy Pharmacy
- Winter Park, FL
- NPI 1780796615
6800946963
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Wells Specialty Pharmacy
- Home Infusion Therapy Pharmacy
- Winter Park, FL
- NPI 1780796615
O20100930041478
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642032000000",
"number": "1164980660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3796 HOWELL BRANCH RD",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327921740",
"telephone_number": "407-671-8070",
"fax_number": "407-671-7960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3796 HOWELL BRANCH RD",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327921740",
"telephone_number": "407-671-8070",
"fax_number": "407-671-7960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLS SPECIALTY PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-04",
"last_updated": "2022-01-13",
"certification_date": "2022-01-13",
"status": "A",
"authorized_official_last_name": "SHAPIRO",
"authorized_official_first_name": "COLLEEN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "844-442-9482"
},
"taxonomies": [
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
- Wellness by Physicians Inc (Physicians Rehabilitation)
- Wellness Care Solutions, Inc.
- Wellness Health Medicine LLC
- Lourdine Wellon
- Wells Specialty Pharmacy
- Wells Specialty Pharmacy Inc (Wells Specialty Pharmacy)
- Ashley Wells
- Laura Beth Wells, M.ED.
- Wellspring Therapy Associates
- Evelyn M. Wenzel, LCSW, CAP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.