Organization Active NPI

Wellness Worx Incorporated

  • Community/Retail Pharmacy
  • Wantagh, NY
National Provider Identifier
1194569871
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WELLNESS WORX INCORPORATED
Practice address
2087 Wantagh Ave
Wantagh, NY 11793-3913
Phone
(347) 503-9390
NPI assigned
Jun 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Authorized official

Name
Mr. Ferhan Ali
Title
President
Phone
(347) 503-9390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2087 Wantagh Ave
Wantagh, NY 11793-3913

Mailing address

2087 Wantagh Ave
Wantagh, NY 11793-3913
Phone (347) 503-9390

Other names 1

  • Wellness Worx Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250421001076 NY DME Supplier - Pharmacy 3971039454 Practice locations: Wantagh, NY

National Provider Directory

National Provider Directory

Locations

2087 Wantagh Ave
Wantagh, NY 11793
Phone (347) 503-9390

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1194569871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2087 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933913",
            "telephone_number": "347-503-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2087 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933913",
            "telephone_number": "347-503-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS WORX INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "FERHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-503-9390",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Worx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wantagh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.

Verify at the official NPI Registry.