Wellness Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY 46076 Issued in CA

Legal business name

WELLNESS PHARMACY INC

Practice address

10410 Lower Azusa Rd
El Monte, CA 91731-1277

Phone

(626) 448-7659

Fax

(626) 443-8253

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Young Kyung Cho, RPH

Title

President

Phone

(626) 448-7659

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• midway drugs Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Practitioners 1

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

• Kyungjoo Koo

  • Pharmacist
  • Los Angeles, CA
  • NPI 1740637131
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1467598722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10410 LOWER AZUSA RD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917311277",
            "telephone_number": "626-448-7659",
            "fax_number": "626-443-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10410 LOWER AZUSA RD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917311277",
            "telephone_number": "626-448-7659",
            "fax_number": "626-443-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "YOUNG KYUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-448-7659",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 46076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1467598722",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA46076",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "midway drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meka Webb
• Wecare Health Services. Inc
• Tharanga Weerasinghe, MD
• Charles Wayne Welde, MA
• Deborah Weller
• Jui-Ying Weng
• Western Dental Services, Inc.
• Western Dental Services, Inc.
• Western University of Health Sciences
• Samantha Shalika Wettimuny, PSY.D.

• Community/Retail Pharmacy in El Monte, CA
• Providers in El Monte, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.