Active NPI
Simon Wellner, R.PH.
- Pharmacist
- Houston, TX
National Provider Identifier
1225160880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28697
- Practice address
- 9494 Kirby Dr
Houston, TX 77054-2521 - Phone
- (713) 741-0343
- NPI assigned
- Mar 9, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 28697 | TX | Primary |
Addresses
Primary practice location
9494 Kirby Dr
Houston, TX 77054-2521
Mailing address
3606 Riverwood Park Dr
Humble, TX 77345-1115
Phone (713) 741-0343
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28697 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225160880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3606 RIVERWOOD PARK DR",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773451115",
"telephone_number": "713-741-0343",
"fax_number": "713-741-0139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9494 KIRBY DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770542521",
"telephone_number": "713-741-0343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLNER",
"first_name": "SIMON",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "28697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
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.