Active NPI
Debra Lea Wells, DPH.
- Pharmacist
- Tulsa, OK
National Provider Identifier
1205962479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12124
- Practice address
- 8002 S Sheridan Rd
Tulsa, OK 74133-8945 - Phone
- (918) 492-4242
- Fax
- (918) 493-6452
- NPI assigned
- Feb 24, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12124 | OK | Primary |
Addresses
Primary practice location
8002 S Sheridan Rd
Tulsa, OK 74133-8945
Mailing address
4404 E 80TH PL
Tulsa, OK 74136-8144
Phone (918) 481-8702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12124 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Health and Wellness Pharmacy LLC | Past | Accepting new patients | |
| Saffa Healthmart Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Tulsa, OK
- NPI 1598766263
-
dba Saffa Compounding Pharmacy
- Community/Retail Pharmacy
- Tulsa, OK
- NPI 1255736898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205962479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4404 E 80TH PL",
"city": "TULSA",
"state": "OK",
"postal_code": "741368144",
"telephone_number": "918-481-8702",
"fax_number": "918-493-6452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8002 S SHERIDAN RD",
"city": "TULSA",
"state": "OK",
"postal_code": "741338945",
"telephone_number": "918-492-4242",
"fax_number": "918-493-6452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "DEBRA",
"middle_name": "LEA",
"name_prefix": "Mrs.",
"credential": "DPH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "12124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.