Organization Active NPI

Wellcome Pharmacy, Inc.

  • Pharmacy
  • San Jose, CA
National Provider Identifier
1316799109
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
WELLCOME PHARMACY, INC.
Practice address
1440 El Paseo de Saratoga
San Jose, CA 95130-1633
Phone
(408) 357-4184
NPI assigned
Apr 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
Chau Ong, PHARM.D.NPI 1932480118
Title
Ceo
Phone
(408) 357-4184

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
Pharmacy 333600000X Primary

Addresses

Primary practice location

1440 El Paseo de Saratoga
San Jose, CA 95130-1633

Mailing address

1440 El Paseo de Saratoga
San Jose, CA 95130-1633
Phone (408) 680-8400

Other names 1

  • Wellcome Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250331002401 CA Part B Supplier - Pharmacy 3678096641 Practice locations: San Jose, CA

National Provider Directory

National Provider Directory

Locations

1440 El Paseo de Saratoga
San Jose, CA 95130
Phone (408) 357-4184

Practitioners & affiliated clinicians

Practitioners 1

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": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1316799109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 EL PASEO DE SARATOGA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951301633",
            "telephone_number": "408-680-8400",
            "fax_number": "408-683-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 EL PASEO DE SARATOGA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951301633",
            "telephone_number": "408-357-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCOME PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "ONG",
        "authorized_official_first_name": "CHAU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-357-4184",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellcome Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellcome Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.