Active NPI
Wells Bros. Pharmacy Services Van Buren, LLC
- Community/Retail Pharmacy
- Keosauqua, IA
National Provider Identifier
1437825569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mylo Wells, PHARMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D2244979 | Wells Hometown Drug Keosauqua | Certificate of waiver | Dec 7, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Wells Hometown Drug Keosauqua | 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 assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Bloomfield, IA
- NPI 1205492667
-
- Pharmacist
- Keosauqua, IA
- NPI 1487432829
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.