NPIMap

Organization Active NPI

Welia Health

  • Community/Retail Pharmacy
  • Pine City, MN
National Provider Identifier
1407276264
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WELIA HEALTH
Practice address
1425 Main St N
Pine City, MN 55063-6026
Phone
(320) 322-5141
Fax
(320) 322-5132
NPI assigned
Apr 21, 2014
Last updated
Jul 22, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
WELIA HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Authorized official

Name
Randy Ulseth
Title
Ceo
Phone
(320) 679-1212

Specialties & licenses 1

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

Addresses

Primary practice location

1425 Main St N
Pine City, MN 55063-6026

Mailing address

1425 Main St N
Pine City, MN 55063-6026
Phone (320) 322-5141

Other names 1

  • Welia Health Community Pharmacy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20211012001873 MN Part B Supplier - Mass Immunization (Roster Biller Only) 6709295496 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mora, MN; Pine City, MN
O20211026001126 MN DME Supplier - Pharmacy 6709295496 Practice locations: Pine City, MN

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Welia Health Community Pharmacy1425 Main St N, Pine City, MN 55063-6026(320) 322-5141 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jul 1, 2021

National Provider Directory

National Provider Directory
Tax ID family
Welia Health3 organizations share this tax ID, including this one
Part of
Welia Health

Other organizations with this tax ID 2

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

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1407276264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 MAIN ST N",
            "city": "PINE CITY",
            "state": "MN",
            "postal_code": "550636026",
            "telephone_number": "320-322-5141",
            "fax_number": "320-322-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 MAIN ST N",
            "city": "PINE CITY",
            "state": "MN",
            "postal_code": "550636026",
            "telephone_number": "320-322-5141",
            "fax_number": "320-322-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELIA HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELIA HEALTH",
        "enumeration_date": "2014-04-21",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "ULSETH",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "320-679-1212"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Welia Health Community Pharmacy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Welia Health Community Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pine City, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.