Active NPI
Robert Wellins
- Pharmacist
- Port Charlotte, FL
National Provider Identifier
1346519642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS33720
- Practice address
- 21450 Gibralter Dr
Port Charlotte, FL 33952-5417 - Phone
- (941) 766-9570
- NPI assigned
- Dec 16, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS33720 | FL | Primary |
| Nuclear Pharmacist | 1835N0905X | NP237 | FL |
Addresses
Primary practice location
21450 Gibralter Dr
Port Charlotte, FL 33952-5417
Mailing address
21450 Gibralter Dr
Port Charlotte, FL 33952-5417
Phone (941) 766-9570
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS33720 | FL | MD | Pharmacist |
| NP237 | FL | MD | Nuclear Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323993600000",
"number": "1346519642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21450 GIBRALTER DR",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339525417",
"telephone_number": "941-766-9570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21450 GIBRALTER DR",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339525417",
"telephone_number": "941-766-9570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLINS",
"first_name": "ROBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-16",
"last_updated": "2011-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS33720",
"primary": true
},
{
"code": "1835N0905X",
"taxonomy_group": "",
"desc": "Pharmacist, Nuclear",
"state": "FL",
"license": "NP237",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.