Active NPI
Cikiethia Wells, MT
- Specialist
- Wilson, NC
National Provider Identifier
1336954536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 21884
- Practice address
- 3303 Berkshire Dr NW
Wilson, NC 27896-1495 - Phone
- (252) 205-0953
- NPI assigned
- Feb 12, 2025
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 21884 | NC | Primary |
Addresses
Primary practice location
3303 Berkshire Dr NW
Wilson, NC 27896-1495
Mailing address
3303 Berkshire Dr NW
Wilson, NC 27896-1495
Phone (252) 205-0953
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21884 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1336954536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3303 BERKSHIRE DR NW",
"city": "WILSON",
"state": "NC",
"postal_code": "278961495",
"telephone_number": "252-205-0953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3303 BERKSHIRE DR NW",
"city": "WILSON",
"state": "NC",
"postal_code": "278961495",
"telephone_number": "252-205-0953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "CIKIETHIA",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "U",
"enumeration_date": "2025-02-12",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "21884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.