Active NPI
Wells Pharmacy, Inc
- Community/Retail Pharmacy
- Pomona, CA
National Provider Identifier
1659317147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY54450
- Legal business name
- WELLS PHARMACY, INC
- Practice address
- 1984 Indian Hill Blvd
Pomona, CA 91767-3620 - Phone
- (909) 949-6889
- Fax
- (909) 949-2188
- NPI assigned
- Jun 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yi Yi Sun
- Title
- President
- Phone
- (909) 949-6889
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY54450 | CA | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
1984 Indian Hill Blvd
Pomona, CA 91767-3620
Mailing address
PO Box 1207
Upland, CA 91785-1207
Phone (909) 949-6889
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2114101 | Other | PK | |
| PHA54450 | Medicaid | CA |
Other names 1
- Wells Pharmacy, Inc.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Fontana, CA
- NPI 1750975876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477008000000",
"number": "1659317147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1207",
"city": "UPLAND",
"state": "CA",
"postal_code": "917851207",
"telephone_number": "909-949-6889",
"fax_number": "909-949-2188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1984 INDIAN HILL BLVD",
"city": "POMONA",
"state": "CA",
"postal_code": "917673620",
"telephone_number": "909-949-6889",
"fax_number": "909-949-2188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLS PHARMACY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-21",
"last_updated": "2016-10-21",
"status": "A",
"authorized_official_last_name": "SUN",
"authorized_official_first_name": "YI YI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "909-949-6889"
},
"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": "PHY54450",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2114101",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA54450",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wells Pharmacy, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.