Organization Active NPI

Wellness 1 Pharmacy LLC

  • Community/Retail Pharmacy
  • Kettering, OH
National Provider Identifier
1538409545
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WELLNESS 1 PHARMACY LLC
Practice address
2420 S Smithville Rd
Kettering, OH 45420-1458
Phone
(513) 515-9366
NPI assigned
Feb 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Authorized official

Name
Mr. Ayman Fathi Yahya, MDNPI 1841434891
Title
Treasurer
Phone
(513) 515-9366

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2420 S Smithville Rd
Kettering, OH 45420-1458

Mailing address

2420 S.Smithville Rd
Kettering, OH 45420-7635
Phone (937) 256-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131024001809 OH Part B Supplier - Mass Immunization (Roster Biller Only) 2163657313 Practice locations: Dayton, OH

National Provider Directory

National Provider Directory

Locations

2420 S Smithville Rd
Kettering, OH 45420
Phone (513) 515-9366

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1538409545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 S.SMITHVILLE RD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454207635",
            "telephone_number": "937-256-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 S SMITHVILLE RD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201458",
            "telephone_number": "513-515-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS 1 PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-27",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "YAHYA",
        "authorized_official_first_name": "AYMAN",
        "authorized_official_middle_name": "FATHI",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "513-515-9366",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.

Verify at the official NPI Registry.