IHS Pharmacy and Wellness Center, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

02-1374300 Issued in OH

Legal business name

IHS PHARMACY AND WELLNESS CENTER, LLC

Practice address

100 N Detroit St
Xenia, OH 45385-2912

Phone

(937) 374-0899

Fax

(937) 374-0950

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Weeks

Title

Ceo

Phone

(937) 374-0899

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1205974391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N DETROIT ST",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453852912",
            "telephone_number": "937-374-0899",
            "fax_number": "937-374-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N DETROIT ST",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453852912",
            "telephone_number": "937-374-0899",
            "fax_number": "937-374-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHS PHARMACY AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WEEKS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-374-0899",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "02-1374300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3671840",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "36D1029562",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENSE #",
            "identifier": "021374300",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2411974",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Hurt
• Alberta M Hutchison, LPCC
• Jane Hwang, OTD, OTR/L
• Linda Dzifa Idun, MD
• Igo Safe Journey Enterprises LLC
• IHS-LTC,LLC
• Aisha Indrees
• Bay Ireland
• Katie Ison
• Nina Maria Ivy, STNA

• Community/Retail Pharmacy in Xenia, OH
• Providers in Xenia, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.