Active NPI
Heather Wells, PHARMD
- Pharmacist
- Deerfield Beach, FL
National Provider Identifier
1679214290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS41994
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS41994 | Other | FL | PHARMACIST 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
| License | State | Type | Specialty |
|---|---|---|---|
| PS41994 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waldrug LLC | Current | 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.
-
- Community/Retail Pharmacy
- Deerfield Beach, FL
- NPI 1912663378
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.