Active NPI
Wellness Worx Incorporated
- Community/Retail Pharmacy
- Wantagh, NY
National Provider Identifier
1194569871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250421001076 | NY | DME Supplier - Pharmacy | 3971039454 | Practice locations: Wantagh, NY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Wantagh, NY
- NPI 1003634791
-
- Pharmacist
- Wantagh, NY
- NPI 1750105383
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.