Wellmans Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY34487 Issued in CA

Legal business name

WELLMANS PHARMACY INC

Practice address

1053 Stockton St
San Francisco, CA 94108-1109

Phone

(415) 362-3622

Fax

(415) 956-6233

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Peter Lo, PHARMACIST

Title

Owner

Phone

(415) 362-3622

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• WELLMANS PHARMACY#1 Doing business as

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1497867329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 STOCKTON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941081109",
            "telephone_number": "415-362-3622",
            "fax_number": "415-956-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 STOCKTON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941081109",
            "telephone_number": "415-362-3622",
            "fax_number": "415-956-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLMANS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-362-3622",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY34487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1999186",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHY34487",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WELLMANS PHARMACY#1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Weller
• Paul John Weller, DDS, MS
• Sarah L Weller
• Blair Wellington, MFT
• Wellmans Pharmacy Inc
• Wellness Care Medical Group a Professional Corporation
• Dara Wells-Hajjar, ASW
• Alexander Christopher Chung Wells
• Corinn Elisa Wells, B.A.
• Gregory Charles Wells, PHD

• Community/Retail Pharmacy in San Francisco, CA
• Providers in San Francisco, 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 Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.