Complete Wellness Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

COMPLETE WELLNESS PHARMACY LLC

Doing business as

Complete Wellness Pharmacy

Practice address

5732 Buckeystown Pike Ste 24
Frederick, MD 21704-5180

Phone

(240) 608-4666

Fax

(240) 608-4666

NPI assigned

May 11, 2020

Last updated

Nov 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Omar Siddiqi

Title

Owner

Phone

(240) 608-4666

Specialties & licenses 1

Addresses

Other names 1

• Complete Wellness Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637971200000",
    "number": "1235751470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5732 BUCKEYSTOWN PIKE STE 24",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217045180",
            "telephone_number": "240-608-4666",
            "fax_number": "240-608-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5732 BUCKEYSTOWN PIKE STE 24",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217045180",
            "telephone_number": "240-608-4666",
            "fax_number": "240-608-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE WELLNESS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-11",
        "last_updated": "2021-11-27",
        "certification_date": "2021-11-25",
        "status": "A",
        "authorized_official_last_name": "SIDDIQI",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-608-4666"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Wellness Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Complete Wellness Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2021; 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.