NPIMap

Organization Active NPI

Wellmart Pharmacy Inc.

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1669954210
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WELLMART PHARMACY INC.
Practice address
2326 E Allegheny Ave
Philadelphia, PA 19134-4432
Phone
(215) 427-1603
Fax
(215) 427-3590
NPI assigned
Aug 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Edward Okebiorun, RPHNPI 1962950873
Title
President
Phone
(215) 427-1603

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP482534 PA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2326 E Allegheny Ave
Philadelphia, PA 19134-4432

Mailing address

2326 E Allegheny Ave
Philadelphia, PA 19134-4432
Phone (215) 427-1603

Other identifiers 1

IdentifierTypeStateIssuer
103543558MedicaidPA

Other names 1

  • La Vida Discount Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2326 E Allegheny Ave
Philadelphia, PA 19134

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1669954210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2326 E ALLEGHENY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191344432",
            "telephone_number": "215-427-1603",
            "fax_number": "215-427-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2326 E ALLEGHENY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191344432",
            "telephone_number": "215-427-1603",
            "fax_number": "215-427-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLMART PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-30",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "OKEBIORUN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-427-1603",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP482534",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103543558",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Vida Discount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.