The Wellness Center Pharmacy, Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

License

7526 Issued in TN

Legal business name

THE WELLNESS CENTER PHARMACY, INC.

Practice address

7304 Jarnigan Rd
Chattanooga, TN 37421-3042

Phone

(423) 954-2585

Fax

(423) 954-2460

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Randal J Davis, D.PH.

Title

Onwer

Phone

(423) 954-2585

Specialties & licenses 1

Addresses

Other identifiers 4

Tax ID family

The Wellness Center Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• The Wellness Center Pharmacy

  • Pharmacist
  • Chattanooga, TN
  • NPI 1659817229
  NPD tax ID

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1407906506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7304 JARNIGAN RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213042",
            "telephone_number": "423-954-2585",
            "fax_number": "423-954-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7304 JARNIGAN RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213042",
            "telephone_number": "423-954-2585",
            "fax_number": "423-954-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLNESS CENTER PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ONWER",
        "authorized_official_telephone_number": "423-954-2585",
        "authorized_official_credential": "D.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "7526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN PROVIDER PHARMACY ID #",
            "identifier": "3071760",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY STATE LICENSE",
            "identifier": "3203",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAPB",
            "identifier": "4431780",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN PROVIDER SUPPLY ID #",
            "identifier": "3100789",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• The Wellness Center Pharmacy
• Mark C Thel, MD
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• Jason Edward Therrien, PT, DPT
• Erin Smith Thibault, MD
• Thomas C. Rumph

• Pharmacist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.