Organization Active NPI

Wellplus Pharmacy Inc.

  • Community/Retail Pharmacy
  • Fresno, CA
National Provider Identifier
1407230675
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WELLPLUS PHARMACY INC.
Practice address
3005 W Bullard Ave
Fresno, CA 93711-1609
Phone
(559) 765-4364
Fax
(559) 765-4556
NPI assigned
Jul 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Authorized official

Name
Mohammad Husam Mahmoud, PHARM. D
Title
Pharmacist in Charge
Phone
(559) 259-8454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X CA Primary

Addresses

Primary practice location

3005 W Bullard Ave
Fresno, CA 93711-1609

Mailing address

1187 N Willow Ave
Ste 103 #42
Clovis, CA 93611-4411
Phone (559) 765-4364

National Provider Directory

National Provider Directory

Locations

3005 W Bullard Ave
Fresno, CA 93711
Phone (559) 765-4364

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1407230675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 N WILLOW AVE",
            "address_2": "STE 103 #42",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936114411",
            "telephone_number": "559-765-4364",
            "fax_number": "559-765-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 W BULLARD AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937111609",
            "telephone_number": "559-765-4364",
            "fax_number": "559-765-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLPLUS PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "MAHMOUD",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "HUSAM",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "559-259-8454",
        "authorized_official_credential": "PHARM. D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.