Organization Active NPI

B-Well Pharmacy

  • Community/Retail Pharmacy
  • Rancho Cordova, CA
National Provider Identifier
1497891105
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY46939 Issued in CA
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

Updated by the provider on Aug 30, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5614854OtherOTHER ID NUMBER

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.