Well Life Pharmacy Incorporated

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHAR.CF.60586627 Issued in WA

Legal business name

WELL LIFE PHARMACY INCORPORATED

Practice address

5608 S Regal St Ste 102
Spokane, WA 99223-7957

Phone

(509) 838-0896

Fax

(509) 838-1085

NPI assigned

Sep 6, 2006

Organization subpart

No

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

Authorized official

Name

Jeff Foster, RPH

Title

Owner

Phone

(208) 267-4004

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• WELL LIFE LATAH PHARMACY Doing business as

Locations

Practitioners 1

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

• Melissa Healey

  • Pharmacist
  • Spokane, WA
  • NPI 1134578883
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1386747558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1687",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838051687",
            "telephone_number": "208-267-8929",
            "fax_number": "208-267-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5608 S REGAL ST STE 102",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992237957",
            "telephone_number": "509-838-0896",
            "fax_number": "509-838-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL LIFE PHARMACY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-267-4004",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.60586627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6030597",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807728700",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807723000",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2110399",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WELL LIFE LATAH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Marie Welde, MS
• Scott T Weldon, PA
• Shumendi H Weldu, RN
• Christopher Robert Welker, M.D.
• John Welker
• Wellcraft Therapy LLC
• Genasee Rose Weller, LMP
• Wellhouse Counseling, LLC
• Benjamin Darrel Welling, M.D.
• Wellness Therapies, LLC

• Community/Retail Pharmacy in Spokane, WA
• Providers in Spokane, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.