Wellness Pharmacy of St Augustine LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH26918 Issued in FL

Legal business name

WELLNESS PHARMACY OF ST AUGUSTINE LLC

Doing business as

Wellness Pharmacy of St Augustine

Practice address

4405 Sartillo Rd Ste C
Saint Augustine, FL 32095-5240

Phone

(904) 429-7333

Fax

(904) 460-2695

NPI assigned

Jun 14, 2013

Organization subpart

No

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

Authorized official

Name

Dania AjloniNPI 1285917336

Title

Pharmacist/Partner

Phone

(904) 429-7333

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Wellness Pharmacy of St Augustine Doing business as

Locations

Practitioners 1

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

• Dania Ajloni, PHARMD

  • Pharmacist
  • Saint Augustine, FL
  • NPI 1285917336
  NPD Authorized official

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1174962997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 SARTILLO RD STE C",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320955240",
            "telephone_number": "904-429-7333",
            "fax_number": "904-460-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 SARTILLO RD STE C",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320955240",
            "telephone_number": "904-429-7333",
            "fax_number": "904-460-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS PHARMACY OF ST AUGUSTINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-14",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "AJLONI",
        "authorized_official_first_name": "DANIA",
        "authorized_official_title_or_position": "PHARMACIST/PARTNER",
        "authorized_official_telephone_number": "904-429-7333"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH26918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009136100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2140997",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Pharmacy of St Augustine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachael Laurie Weigle, DO
• David A Weinshel, MD
• Stephanie Weinstein
• Melanie Leigh Weis, PHD
• Well Heeled Inc
• Wellness Pharmacy of St Augustine LLC
• Daria Wells, LCSW, RN
• Shawn Rene Wells, ARNP
• Welltide Orthodontics LLC
• Lenore Welty, MASSAGE THERAPIST

• Community/Retail Pharmacy in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.