Active NPI
Wellness Health Mart LLC
- Durable Medical Equipment & Medical Supplies
- Taylor, MI
National Provider Identifier
1447735220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- WELLNESS HEALTH MART LLC
- Practice address
- 11780 Telegraph Rd Ste 110
Taylor, MI 48180-6861 - Phone
- (734) 921-3971
- Fax
- (734) 921-3172
- NPI assigned
- Sep 27, 2018
- 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
- Maher Salameh, PHARM D.
- Title
- Owner Pic
- Phone
- (734) 921-3971
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
11780 Telegraph Rd Ste 110
Taylor, MI 48180-6861
Mailing address
11780 Telegraph Rd Ste 110
Taylor, MI 48180-6861
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200403002541 | MI | DME Supplier - Pharmacy | 1759710247 | Practice locations: Taylor, MI |
National Provider Directory
National Provider DirectoryLocations
11780 Telegraph Rd
Ste 110
Taylor, MI 48180
Phone (734) 921-3971
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Harper Woods, MI
- NPI 1972907244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671494400000",
"number": "1447735220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11780 TELEGRAPH RD STE 110",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481806861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11780 TELEGRAPH RD STE 110",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481806861",
"telephone_number": "734-921-3971",
"fax_number": "734-921-3172"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS HEALTH MART LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-27",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A",
"authorized_official_last_name": "SALAMEH",
"authorized_official_first_name": "MAHER",
"authorized_official_title_or_position": "OWNER PIC",
"authorized_official_telephone_number": "734-921-3971",
"authorized_official_credential": "PHARM D."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taylor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.