Wellcare Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482368 Issued in PA

Legal business name

WELLCARE PHARMACY INC

Practice address

2220 Cottman Ave
Floor 1
Philadelphia, PA 19149-1203

Phone

(267) 538-2685

Fax

(267) 538-2684

NPI assigned

Mar 22, 2013

Organization subpart

No

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

Authorized official

Name

Zengxing Li

Title

Pharmacy Manager

Phone

(267) 538-2685

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Tax ID family

Wellcare Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Wellcare Pharmacy Inc

  • Long Term Care Pharmacy
  • Philadelphia, PA
  • NPI 1588471841
  NPD tax ID
• Wellcare Pharmacy Inc

  • Durable Medical Equipment & Medical Supplies
  • Philadelphia, PA
  • NPI 1972303386
  NPD tax ID

Locations

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1477895944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 COTTMAN AVE",
            "address_2": "FLOOR 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 COTTMAN AVE",
            "address_2": "FLOOR 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491203",
            "telephone_number": "267-538-2685",
            "fax_number": "267-538-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-22",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "ZENGXING",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "267-538-2685"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027976350001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wellaid Inc (WellAid Pharmacy Inc.)
• Wellaid Inc.
• Wellcare Pharmacy 2
• Wellcare Pharmacy 3
• Wellcare Pharmacy 4 LLC (Wellcare Pharmacy 4)
• Wellcare Pharmacy Inc
• Wellcare Pharmacy Inc
• Elena K Wellens, D.P.M
• Andrew Everett Weller, M.D.
• Cynthia R Weller, AUDIOLOGIST

• Community/Retail Pharmacy in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.