The Wellness Plan Medical Centers

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301003705 Issued in MI

Legal business name

THE WELLNESS PLAN MEDICAL CENTERS

Practice address

4909 E Outer Dr
Detroit, MI 48234-3446

Phone

(313) 366-2000

Fax

(313) 369-3950

NPI assigned

Jun 8, 2006

Organization subpart

No

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

Authorized official

Name

Anthony V King

Title

Ceo & Executive Director

Phone

(313) 202-8550

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• The Wellness Plan Doing business as

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1386684033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 2ND AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022477",
            "telephone_number": "313-202-8660",
            "fax_number": "313-202-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 E OUTER DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482343446",
            "telephone_number": "313-366-2000",
            "fax_number": "313-369-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLNESS PLAN MEDICAL CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CEO & EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-202-8550"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301003705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2043107",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1887996",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wellness Plan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Ward Haus LLC
• The Welcoming Estates
• The Wellness Plan
• The Wellness Plan
• The Wellness Plan Medical Centers
• The Wellness Plan Medical Centers
• The Wellness Plan Medical Centers
• The Wellness Plan Medical Centers
• The Wellness Plan Medical Centers
• R Chase Thebault, M.D.

• Community/Retail Pharmacy in Detroit, MI
• Providers in Detroit, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.