Organization Active NPI

Wells Bros. Pharmacy Services Van Buren, LLC

  • Community/Retail Pharmacy
  • Keosauqua, IA
National Provider Identifier
1437825569
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WELLS BROS. PHARMACY SERVICES VAN BUREN, LLC
Practice address
1014 Franklin St
Keosauqua, IA 52565-1098
Phone
(319) 293-7757
Fax
(319) 293-7741
NPI assigned
Aug 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Authorized official

Name
Mylo Wells, PHARMDNPI 1205492667
Title
Owner
Phone
(641) 208-6889

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

1014 Franklin St
Keosauqua, IA 52565-1098

Mailing address

PO Box 10
1014 Franklin St
Keosauqua, IA 52565-1098

Other names 1

  • Wells Hometown Drug Keosauqua Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20211119000922 IA Part B Supplier - Pharmacy 8729477369 Practice locations: Keosauqua, IA
O20220622002264 IA DME Supplier - Pharmacy 8729477369 Practice locations: Keosauqua, IA

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2244979Wells Hometown Drug Keosauqua1014 Franklin St, Keosauqua, IA 52565Certificate of waiverDec 7, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Wells Hometown Drug Keosauqua1014 Franklin St, Keosauqua, IA 52565-1098(319) 293-7757 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Wheelchair Seating/Cushions|Orthoses: Off-The-Shelf|Ostomy Su… Accepts assignmentParticipating since Oct 1, 2021

National Provider Directory

National Provider Directory

Locations

1014 Franklin St
Keosauqua, IA 52565

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1437825569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "address_2": "1014 FRANKLIN ST",
            "city": "KEOSAUQUA",
            "state": "IA",
            "postal_code": "525651098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 FRANKLIN ST",
            "city": "KEOSAUQUA",
            "state": "IA",
            "postal_code": "525651098",
            "telephone_number": "319-293-7757",
            "fax_number": "319-293-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLS BROS. PHARMACY SERVICES VAN BUREN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "MYLO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-208-6889",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wells Hometown Drug Keosauqua",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wells Hometown Drug Keosauqua",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Keosauqua, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.