Abundant Wellness Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ABUNDANT WELLNESS INC

Doing business as

BWell Pharmacy

Practice address

301 N Pepper Ave Ste 300
Colton, CA 92324-1839

Phone

(909) 533-4019

Fax

(909) 533-4019

NPI assigned

Feb 26, 2024

Organization subpart

No

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

Authorized official

Name

Nancy MadiNPI 1649754045

Title

Owner

Phone

(909) 533-4019

Specialties & licenses 1

Addresses

Other names 1

• BWell Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA3 enrollments

Enrollment records 3

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Abundant Wellness Inc

  • Long Term Care Pharmacy
  • Colton, CA
  • NPI 1740013366
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nancy Madi

  • Pharmacist
  • Fontana, CA
  • NPI 1649754045
  NPD Authorized official

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1366208548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N PEPPER AVE STE 300",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241839",
            "telephone_number": "909-533-4019",
            "fax_number": "909-533-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N PEPPER AVE STE 300",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241839",
            "telephone_number": "909-533-4019",
            "fax_number": "909-533-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-25",
        "status": "A",
        "authorized_official_last_name": "MADI",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-533-4019"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BWell Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Aboagye
• Georgina Abodoh
• Beril V Abraham, M.D.
• Michelle Abram
• Jammal Abu-Khazneh, DO
• Abundant Wellness Inc
• Access DME, Inc.
• Jerry T Aceron
• Diana Acevedo, PHARM.D.
• Kenny Aceves

• Community/Retail Pharmacy in Colton, CA
• Providers in Colton, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.