Michael Kyle Wells, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

017127 Issued in LA

Practice address

2920 S Range Ave
Denham Springs, LA 70726-5566

Phone

(225) 998-1800

Fax

(225) 998-1803

NPI assigned

Aug 23, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kastak Services, L.L.C.

  dba Cypress Pharmacy

  • Community/Retail Pharmacy
  • Denham Springs, LA
  • NPI 1144731662
  NPD (past)
• Kastak Services, L.L.C.

  dba Hollier's Family Pharmacy

  • Community/Retail Pharmacy
  • Breaux Bridge, LA
  • NPI 1497840474
  NPD (past)

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1609156686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 S RANGE AVE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707265566",
            "telephone_number": "225-998-1800",
            "fax_number": "225-998-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 S RANGE AVE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707265566",
            "telephone_number": "225-998-1800",
            "fax_number": "225-998-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "MICHAEL",
        "middle_name": "KYLE",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-23",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "017127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Watterson
• Charlene Marra Weatherford-Graham, MSW
• Daryneshia Weaver, RSW
• Madison Morgan Weaver
• Tom Joseph Weber, PT, MPT, OCS
• Bridget Wheat, LPN
• Angela Patrice White, NP
• Elise Whitlock
• Candice Whitton
• Taylor Whitworth, DDS

• Pharmacist in Denham Springs, LA
• Providers in Denham Springs, LA by specialty
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.