Organization Active NPI

Wellness Medical Essentials & Co LLC

  • Durable Medical Equipment & Medical Supplies
  • Winston Salem, NC
National Provider Identifier
1366248213
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WELLNESS MEDICAL ESSENTIALS & CO LLC
Practice address
5674 Chancellorsville Dr
Winston Salem, NC 27106-2713
Phone
(336) 602-3902
NPI assigned
Feb 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Kadijah Trievette Davis
Title
Owner
Phone
(336) 602-3902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5674 Chancellorsville Dr
Winston Salem, NC 27106-2713

Mailing address

5674 Chancellorsville Dr
Winston Salem, NC 27106-2713

Other names 2

  • Wellness Medical Essentials & Co LLC Former legal business name
  • Wellness Medical Essentials & Co. Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1366248213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5674 CHANCELLORSVILLE DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271062713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5674 CHANCELLORSVILLE DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271062713",
            "telephone_number": "336-602-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS MEDICAL ESSENTIALS & CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KADIJAH",
        "authorized_official_middle_name": "TRIEVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-602-3902"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Medical Essentials & Co LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Wellness Medical Essentials & Co.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.

Verify at the official NPI Registry.