Active NPI
Wellrx LLC
- Pharmacy
- Wheaton, IL
National Provider Identifier
1275754798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 54020427
- Legal business name
- WELLRX LLC
- Practice address
- 200 E Willow Ave
Ste 100
Wheaton, IL 60187-5463 - Phone
- (877) 629-4446
- Fax
- (877) 599-0139
- NPI assigned
- May 1, 2007
- 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
- Scott Luckow, PHARMD
- Title
- Owner/Manager
- Phone
- (877) 629-4446
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 54020427 | IL | Primary |
| Community/Retail Pharmacy | 3336C0003X | 054002067 | IL | |
| Community/Retail Pharmacy | 3336C0003X | |||
| Compounding Pharmacy | 3336C0004X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X | 54020427 | IL | |
| Specialty Pharmacy | 3336S0011X | 54020427 | IL |
Addresses
Primary practice location
200 E Willow Ave
Ste 100
Wheaton, IL 60187-5463
Mailing address
200 E Willow Ave
Ste 100
Wheaton, IL 60187-5463
Phone (877) 629-4446
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2157822 | Other | PK | |
| 36-2789201-0003 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
200 E Willow Ave
Ste 100
Wheaton, IL 60187
Phone (630) 668-1180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1520985600000",
"number": "1275754798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E WILLOW AVE",
"address_2": "STE 100",
"city": "WHEATON",
"state": "IL",
"postal_code": "601875463",
"telephone_number": "877-629-4446",
"fax_number": "877-599-0139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E WILLOW AVE",
"address_2": "STE 100",
"city": "WHEATON",
"state": "IL",
"postal_code": "601875463",
"telephone_number": "877-629-4446",
"fax_number": "877-599-0139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLRX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-01",
"last_updated": "2018-03-14",
"status": "A",
"authorized_official_last_name": "LUCKOW",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "877-629-4446",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "IL",
"license": "54020427",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "IL",
"license": "054002067",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "IL",
"license": "54020427",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "IL",
"license": "54020427",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2157822",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36-2789201-0003",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.