Medwell Health Solutions

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010513 Issued in MI

Legal business name

MEDWELL HEALTH SOLUTIONS

Doing business as

Medwell Health Solutions

Practice address

27211 Lahser Rd Ste 100
Southfield, MI 48034-8469

Phone

(248) 270-8246

NPI assigned

Jul 18, 2014

Organization subpart

No

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

Authorized official

Name

Mazen Baisa

Title

Owner

Phone

(248) 270-8246

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MEDWELL HEALTH SOLUTIONS Doing business as

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405641600000",
    "number": "1629485925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27211 LAHSER RD",
            "address_2": "SUITE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348469",
            "telephone_number": "248-270-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27211 LAHSER RD STE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348469",
            "telephone_number": "248-270-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDWELL HEALTH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-07-18",
        "status": "A",
        "authorized_official_last_name": "BAISA",
        "authorized_official_first_name": "MAZEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-270-8246"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146919",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDWELL HEALTH SOLUTIONS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Tesfagebriel A Mehari, PHARMD
• Rahul Mehta, MD

• Community/Retail Pharmacy in Southfield, MI
• Providers in Southfield, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.