Organization Active NPI

Wellpath Pharma

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1285410316
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WELLPATH PHARMA
Practice address
18505 Grand River Ave
Detroit, MI 48223-2318
Phone
(313) 200-0200
Fax
(313) 200-0222
NPI assigned
Sep 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Laurena Hazem ChahineNPI 1346003894
Title
Owner
Phone
(313) 200-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

18505 Grand River Ave
Detroit, MI 48223-2318

Mailing address

18505 Grand River Ave
Detroit, MI 48223-2318
Phone (313) 200-0200

Other names 1

  • Belle Isle Rx Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240327003721 MI Part B Supplier - Pharmacy 6709223506 Practice locations: Detroit, MI
O20260626001976 MI Part B Supplier - Pharmacy 6608349097 Practice locations: Detroit, MI

National Provider Directory

National Provider Directory

Locations

18505 Grand River Ave
Detroit, MI 48223
Phone (313) 200-0200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1285410316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18505 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232318",
            "telephone_number": "313-200-0200",
            "fax_number": "313-200-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18505 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232318",
            "telephone_number": "313-200-0200",
            "fax_number": "313-200-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLPATH PHARMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "CHAHINE",
        "authorized_official_first_name": "LAURENA",
        "authorized_official_middle_name": "HAZEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-200-0200"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Belle Isle Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.

Verify at the official NPI Registry.