Organization Active NPI

Wellness Pharmacy and Compounding LLC

  • Community/Retail Pharmacy
  • Troy, MI
National Provider Identifier
1417518218
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WELLNESS PHARMACY AND COMPOUNDING LLC
Doing business as
Wellness Pharmacy and Compounding LLC.
Practice address
215 E Big Beaver Rd Ste 500
Troy, MI 48083-1242
Phone
(248) 817-6770
Fax
(248) 817-2455
NPI assigned
Jun 24, 2019
Last updated
Jun 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Authorized official

Name
Gassan AsadiNPI 1497277115
Title
Pharmacist in Charge
Phone
(248) 817-6770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

215 E Big Beaver Rd Ste 500
Troy, MI 48083-1242

Mailing address

215 E Big Beaver Rd Ste 500
Troy, MI 48083-1242
Phone (248) 817-6770

Other names 1

  • Wellness Pharmacy and Compounding LLC. Doing business as

National Provider Directory

National Provider Directory

Locations

215 E Big Beaver Rd
Ste 500
Troy, MI 48083
Phone (248) 817-6770

Practitioners & affiliated clinicians

Practitioners 1

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": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1417518218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E BIG BEAVER RD STE 500",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831242",
            "telephone_number": "248-817-6770",
            "fax_number": "248-817-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E BIG BEAVER RD STE 500",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831242",
            "telephone_number": "248-817-6770",
            "fax_number": "248-817-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS PHARMACY AND COMPOUNDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "ASADI",
        "authorized_official_first_name": "GASSAN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "248-817-6770"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Pharmacy and Compounding LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.