Organization Active NPI

Wellness Health Mart LLC

  • Durable Medical Equipment & Medical Supplies
  • Taylor, MI
National Provider Identifier
1447735220
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Dec 20, 2022

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

Authorized official

Name
Maher Salameh, PHARM D.NPI 1972907244
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20200403002541 MI DME Supplier - Pharmacy 1759710247 Practice locations: Taylor, MI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.