Organization Active NPI

Wellfount Corporation

  • Long Term Care Pharmacy
  • Indianapolis, IN
National Provider Identifier
1407877467
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
60005933 Issued in IN
Legal business name
WELLFOUNT CORPORATION
Practice address
5751 W 73Rd St
Indianapolis, IN 46278-1741
Phone
(317) 524-1515
Fax
(317) 552-1101
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Authorized official

Name
John Solhan
Title
Controller
Phone
(317) 524-1515

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 60005933 IN Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

5751 W 73Rd St
Indianapolis, IN 46278-1741

Mailing address

5751 W 73Rd St
Indianapolis, IN 46278-1741
Phone (317) 524-1515

Other identifiers 4

IdentifierTypeStateIssuer
2025360OtherPK
1560475OtherINNCPDP
200805950AMedicaidIN
2687810MedicaidOH

Other names 1

  • WELLFOUNT CORP Doing business as

National Provider Directory

National Provider Directory

Locations

5751 W 73rd St
Indianapolis, IN 46278
Phone (317) 524-1515

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1407877467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 W 73RD ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781741",
            "telephone_number": "317-524-1515",
            "fax_number": "844-325-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5751 W 73RD ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781741",
            "telephone_number": "317-524-1515",
            "fax_number": "317-552-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLFOUNT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "SOLHAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "317-524-1515"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IN",
            "license": "60005933",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2025360",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1560475",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200805950A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2687810",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WELLFOUNT CORP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WELLFOUNT CORP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.