Active NPI
Wellness Pharmacy Inc.
- Community/Retail Pharmacy
- Philadelphia, PA
National Provider Identifier
1245097443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- WELLNESS PHARMACY INC.
- Practice address
- 7261 Revere St
Philadelphia, PA 19149-1429 - Phone
- (215) 782-6688
- NPI assigned
- Mar 4, 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. Jian Jiang
- Title
- Owner
- Phone
- (215) 782-6688
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
7261 Revere St
Philadelphia, PA 19149-1429
Mailing address
7261 Revere St
Philadelphia, PA 19149-1429
Phone (215) 782-6688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240508000115 | PA | Part B Supplier - Pharmacy | 0941641013 | Practice locations: Philadelphia, PA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Philadelphia, PA
- NPI 1851278287
0941641013
National Provider Directory
National Provider Directory- Tax ID family
- Wellness Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Philadelphia, PA
- NPI 1851278287
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Durable Medical Equipment & Medical Supplies
- Philadelphia, PA
- NPI 1851278287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755475200000",
"number": "1245097443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7261 REVERE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191491429",
"telephone_number": "215-782-6688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7261 REVERE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191491429",
"telephone_number": "215-782-6688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-04",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A",
"authorized_official_last_name": "JIANG",
"authorized_official_first_name": "JIAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "215-782-6688",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.