Individual provider Active NPI

Heather Wells, PHARMD

  • Pharmacist
  • Deerfield Beach, FL
National Provider Identifier
1679214290
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS41994 Issued in FL
Practice address
1950 W Hillsboro Blvd Ste 102
Deerfield Beach, FL 33442-1445
Phone
(561) 658-1362
Fax
(954) 834-6759
NPI assigned
Apr 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS41994 FL Primary

Addresses

Primary practice location

1950 W Hillsboro Blvd Ste 102
Deerfield Beach, FL 33442-1445

Mailing address

1453 Crest Dr
Lake Worth, FL 33461-6003

Other identifiers 1

IdentifierTypeStateIssuer
PS41994OtherFLPHARMACIST LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS41994FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Waldrug LLC CurrentSince Apr 10, 2022 Accepting new patients

Locations

1950 W Hillsboro Blvd
Ste 102
Deerfield Beach, FL 33442
Phone (561) 658-1362

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1679214290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 CREST DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334616003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 W HILLSBORO BLVD STE 102",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421445",
            "telephone_number": "561-658-1362",
            "fax_number": "954-834-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "HEATHER",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS41994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "PS41994",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.