Wellcare of Houston Group, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

WELLCARE OF HOUSTON GROUP, LLC

Doing business as

WellCare Pharmacy

Practice address

14343 Torrey Chase Blvd Ste I
Houston, TX 77014-1630

Phone

(408) 661-3881

NPI assigned

May 21, 2021

Last updated

Feb 6, 2022By 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

Mr. Bryan T Phan, RPH

Title

Member Managed

Phone

(408) 661-3881

Specialties & licenses 4

Addresses

Other names 1

• WellCare Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644105600000",
    "number": "1275108227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17515 SPRING CYPRESS RD # 256",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774292688",
            "telephone_number": "408-661-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14343 TORREY CHASE BLVD STE I",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770141630",
            "telephone_number": "408-661-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE OF HOUSTON GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2022-02-06",
        "certification_date": "2022-02-06",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEMBER  MANAGED",
        "authorized_official_telephone_number": "408-661-3881",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellCare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WellCare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Well-Being Group LLC.
• Well-Care Home Health Inc. (Merida Health Care Group)
• Wellaid Clinic, LLC
• Wellcare Chiropractic and Rehabilitation Clinic
• Wellcare Medical Supply Inc
• Wellcare of Texas, Inc.
• James Patrick Weller, M.D.
• Suellen Macedo Weller
• Wellgiven Afc TX, LLC
• Lauryn Welling, PA-C

• Long Term Care Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Long Term Care Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2022; 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.