NPIMap

Organization Active NPI

Wells Discount Drugs Inc

Doing business as Wells Pharmacy

  • Pharmacy
  • Laurel, MS
National Provider Identifier
1407951601
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
01741 01 1 Issued in MS
Legal business name
WELLS DISCOUNT DRUGS INC
Doing business as
Wells Pharmacy
Practice address
725 Samill Rd
Laurel, MS 39440-3971
Phone
(601) 426-2362
Fax
(601) 426-2363
NPI assigned
Sep 13, 2006
Last updated
Jul 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Authorized official

Name
Mr. William H Wells, RPHNPI 1619072840
Title
President Pharmacist
Phone
(601) 426-2362

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 01741 01 1 MS Primary

Addresses

Primary practice location

725 Samill Rd
Laurel, MS 39440-3971

Mailing address

725 Sawmill Rd
Laurel, MS 39440-3971
Phone (601) 426-2362

Other identifiers 2

IdentifierTypeStateIssuer
00040091MedicaidMS
00090084MedicaidMS

Other names 1

  • Wells Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20190320000673 MS Part B Supplier - Pharmacy 7719227206 Practice locations: Laurel, MS
O20190416003043 MS Part B Supplier - Mass Immunization (Roster Biller Only) 7719227206 Practice locations: Laurel, MS
O20190918000342 MS DME Supplier - Pharmacy 7719227206 Practice locations: Laurel, MS

National Provider Directory

National Provider Directory

Locations

725 Sawmill Rd
Laurel, MS 39440
Phone (601) 426-2362

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1407951601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 SAWMILL RD",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394403971",
            "telephone_number": "601-426-2362",
            "fax_number": "601-426-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 SAMILL RD",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394403971",
            "telephone_number": "601-426-2362",
            "fax_number": "601-426-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLS DISCOUNT DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT PHARMACIST",
        "authorized_official_telephone_number": "601-426-2362",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MS",
            "license": "01741 01 1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00040091",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00090084",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wells Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurel, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.