Wellness Specialty Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WELLNESS SPECIALTY PHARMACY INC

Doing business as

wellness specialty pharmacy inc

Practice address

19944 Ventura Blvd
Woodland Hills, CA 91364-2629

Phone

(818) 854-6600

Fax

(818) 664-4204

NPI assigned

Jun 6, 2013

Last updated

Oct 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bahareh GolestanipourNPI 1134631625

Title

Authorized Official

Phone

(818) 854-6600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• wellness specialty pharmacy inc Doing business as

Tax ID family

Wellness LTC Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wellness LTC Pharmacy

  • Long Term Care Pharmacy
  • Woodland Hills, CA
  • NPI 1043104599
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bahareh Golestanipour, PHARMD

  • Pharmacist
  • Cangoa Park, CA
  • NPI 1134631625
  NPD Authorized official

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1386082808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19944 VENTURA BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642629",
            "telephone_number": "818-854-6600",
            "fax_number": "818-564-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19944 VENTURA BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642629",
            "telephone_number": "818-854-6600",
            "fax_number": "818-664-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS SPECIALTY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "GOLESTANIPOUR",
        "authorized_official_first_name": "BAHAREH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "818-854-6600"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PHY58277",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "wellness specialty pharmacy inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol A. Welles, MD
• Natalie A Welles
• Wellness Iop PC (Wellness Intensive Outpatient Program PC)
• Wellness LTC Pharmacy
• Wellness Mobile Clinic
• Cheyenne Wells-Jordan
• Bernadette Wells
• Felisha Wells
• Wellspring Hospice
• Jennifer Katherine Wen, PHARMD

• Community/Retail Pharmacy in Woodland Hills, CA
• Providers in Woodland Hills, 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 Oct 18, 2021; 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.