Organization Active NPI

Wellrx LLC

  • Pharmacy
  • Wheaton, IL
National Provider Identifier
1275754798
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
54020427 Issued in IL
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

Updated by the provider on Mar 14, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2157822OtherPK
36-2789201-0003MedicaidIL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.