Wellcare Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WELLCARE PHARMACY LLC

Doing business as

Wellcare Pharmacy LLC

Practice address

2445 Memorial Blvd Ste E
Murfreesboro, TN 37129-5156

Phone

(615) 410-3499

Fax

(615) 809-2025

NPI assigned

Apr 18, 2021

Organization subpart

No

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

Authorized official

Name

Jegannathan Rengarajan Rengarajan

Title

Pharmacy Manager

Phone

(615) 668-8425

Specialties & licenses 1

Addresses

Other names 1

• Wellcare Pharmacy LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

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

{
    "created_epoch": "1618704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1487235768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 MEMORIAL BLVD STE E",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371295156",
            "telephone_number": "615-410-3499",
            "fax_number": "615-809-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 MEMORIAL BLVD STE E",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371295156",
            "telephone_number": "615-410-3499",
            "fax_number": "615-809-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-18",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "RENGARAJAN",
        "authorized_official_first_name": "JEGANNATHAN",
        "authorized_official_middle_name": "RENGARAJAN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "615-668-8425"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellcare Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellcare Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Gerald Weissinger, M.D.
• Sarah Elizabeth Welch, FNP-BC
• Welcome Home Inc
• Jill Anna Welker, PA
• Well Health Murfreesboro LLC
• Wellness Ambulatory Care Inc.
• Wellness Pharmacy Murfreesboro LLC
• Wellness Worx Group LLC
• Anna Wells, RN
• Brandy Wells, OTR

• Community/Retail Pharmacy in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.