Organization Active NPI

Wellwise Pharmacy Inc.

  • Community/Retail Pharmacy
  • Conroe, TX
National Provider Identifier
1326763285
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WELLWISE PHARMACY INC.
Practice address
2519 N Frazier St Ste 3200
Conroe, TX 77303-1683
Phone
(281) 762-1809
NPI assigned
Oct 4, 2022
Last updated
Aug 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Dr. Demitrius Onuaguluchi, PHARM.D.NPI 1144824913
Title
Owner/Pic
Phone
(347) 209-6409

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 NU Primary

Addresses

Primary practice location

2519 N Frazier St Ste 3200
Conroe, TX 77303-1683

Mailing address

5522 Dryad Dr
Houston, TX 77035-4330
Phone (347) 209-6409

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240416004150 TX Part B Supplier - Pharmacy 6406295971 Practice locations: Richmond, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1326763285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5522 DRYAD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770354330",
            "telephone_number": "347-209-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 N FRAZIER ST STE 3200",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773031683",
            "telephone_number": "281-762-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLWISE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "ONUAGULUCHI",
        "authorized_official_first_name": "DEMITRIUS",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "347-209-6409",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.