Active NPI
Wells Pharmacy Inc
Doing business as Porter Drugs
- Community/Retail Pharmacy
- Neodesha, KS
National Provider Identifier
1487736278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2-10096
- Legal business name
- WELLS PHARMACY INC
- Doing business as
- Porter Drugs
- Practice address
- 506 Main St
Neodesha, KS 66757-1739 - Phone
- (620) 325-2671
- Fax
- (620) 325-3326
- NPI assigned
- Oct 20, 2006
- Last updated
- Dec 19, 2024
- 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
- Paula Wells, PHARM D
- Title
- President
- Phone
- (620) 325-2671
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 2-10096 | KS | Primary |
| Long Term Care Pharmacy | 3336L0003X | NU | ||
| Compounding Pharmacy | 3336C0004X | NU |
Addresses
Primary practice location
506 Main St
Neodesha, KS 66757-1739
Mailing address
PO Box 346
Neodesha, KS 66757-0346
Phone (620) 325-2671
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30003879970002 | Medicaid | KS | |
| 200428230A | Medicaid | KS | |
| 30003879970001 | Medicaid | KS | |
| 2031128 | Other | PK |
Other names 1
- PORTER DRUGS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930099055 | KS | DME Supplier - Pharmacy | 1850594474 | Practice locations: Neodesha, KS |
| O20200406001380 | KS | Part B Supplier - Mass Immunization (Roster Biller Only) | 1850594474 | Practice locations: Neodesha, KS |
National Provider Directory
National Provider Directory- Tax ID family
- Wells Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
506 Main St
Neodesha, KS 66757
Phone (620) 325-2671
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Miami, OK
- NPI 1154374320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734566400000",
"number": "1487736278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 346",
"city": "NEODESHA",
"state": "KS",
"postal_code": "667570346",
"telephone_number": "620-325-2671",
"fax_number": "620-325-3326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 MAIN ST",
"city": "NEODESHA",
"state": "KS",
"postal_code": "667571739",
"telephone_number": "620-325-2671",
"fax_number": "620-325-3326"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-20",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A",
"authorized_official_last_name": "WELLS",
"authorized_official_first_name": "PAULA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "620-325-2671",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "KS",
"license": "2-10096",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30003879970002",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200428230A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30003879970001",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2031128",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PORTER DRUGS",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Neodesha, KS
- Usd 461 Neodesha
- Deanna Leigh Vaughn, M.D.
- Vintage Park at Neodesha, LLC
- Lorri Wallace
- Wells Pharmacy Inc (Porter Drug)
- Willow Tree, LLC
- Wilson County Hospital (Neodesha Family Medicine)
- Wilson County Hospital
- Wilson County Hospital (Wilson Medical Center)
- Wilson County Hospital (Wilson Medical Center Professional)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.