Wells Specialty Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH25780 Issued in FL

Legal business name

WELLS SPECIALTY PHARMACY

Practice address

803 South Orlando Avenue
Suite D
Winter Park, FL 32789

Phone

(407) 965-3980

Fax

(407) 965-2978

NPI assigned

Nov 22, 2011

Organization subpart

No

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

Authorized official

Name

Chad Tomlinson

Title

Vice President of Operations

Phone

(407) 383-2004

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Pharm-EZ Medical LLC Former legal business name

Locations

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1336416171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 SOUTH ORLANDO AVENUE",
            "address_2": "SUITE D",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "32789",
            "telephone_number": "407-965-3980",
            "fax_number": "407-965-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 SOUTH ORLANDO AVENUE",
            "address_2": "SUITE D",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "32789",
            "telephone_number": "407-965-3980",
            "fax_number": "407-965-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLS SPECIALTY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "TOMLINSON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "407-383-2004"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25780",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2132816",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004633400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharm-EZ Medical LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Brook Ann Weldon, PTA
• Wellness by Physicians Inc
• Wellness Care Solutions, Inc.
• Wellness Health Medicine LLC
• Lourdine Wellon
• Wells Specialty Pharmacy Inc
• Wells Specialty Pharmacy Inc
• Ashley Wells
• Laura Beth Wells, M.ED.
• Wellspring Therapy Associates

• Community/Retail Pharmacy in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.