Active NPI
B-Well Pharmacy
- Community/Retail Pharmacy
- Rancho Cordova, CA
National Provider Identifier
1497891105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY46939
- Legal business name
- B-WELL PHARMACY
- Practice address
- 2737 Woodberry Way
Ste 101
Rancho Cordova, CA 95670-4758 - Phone
- (916) 361-9616
- Fax
- (916) 361-9553
- NPI assigned
- Jan 29, 2007
- 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
- Toan On, PHARMD
- Title
- Owner
- Phone
- (916) 392-3488
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY46939 | CA | Primary |
Addresses
Primary practice location
2737 Woodberry Way
Ste 101
Rancho Cordova, CA 95670-4758
Mailing address
PO Box 245036
Sacramento, CA 95824-5036
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5614854 | Other | OTHER ID NUMBER |
National Provider Directory
National Provider DirectoryLocations
2737 Woodberry Way
Ste 101
Rancho Cordova, CA 95670
Phone (916) 361-9616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188432000000",
"number": "1497891105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 245036",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958245036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2737 WOODBERRY WAY",
"address_2": "STE 101",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956704758",
"telephone_number": "916-361-9616",
"fax_number": "916-361-9553"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "B-WELL PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-29",
"last_updated": "2007-08-30",
"status": "A",
"authorized_official_last_name": "ON",
"authorized_official_first_name": "TOAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "916-392-3488",
"authorized_official_credential": "PHARMD"
},
"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": "PHY46939",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "5614854",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cordova, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.