Organization Active NPI

Wesley Pharmaceuticals

  • Compounding Pharmacy
  • Orlando, FL
National Provider Identifier
1609767417
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
WESLEY PHARMACEUTICALS
Practice address
5551 Vanguard St
Orlando, FL 32819-8532
Phone
(407) 440-1555
NPI assigned
Jul 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Dr. Traci Collier, PHARMDNPI 1346689189
Title
Director Regulatory Affairs
Phone
(407) 440-1555

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
Compounding Pharmacy 3336C0004X Primary

Addresses

Primary practice location

5551 Vanguard St
Orlando, FL 32819-8532

Mailing address

5551 Vanguard St
Orlando, FL 32819-8532
Phone (407) 440-1555

National Provider Directory

National Provider Directory

Locations

5551 Vanguard St
Orlando, FL 32819
Phone (407) 440-1555

Practitioners & affiliated clinicians

Practitioners 1

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": "1752105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1609767417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5551 VANGUARD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198532",
            "telephone_number": "407-440-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5551 VANGUARD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198532",
            "telephone_number": "407-440-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY PHARMACEUTICALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "DIRECTOR REGULATORY AFFAIRS",
        "authorized_official_telephone_number": "407-440-1555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.