Absolute Wellcare LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

59029 Issued in CA

Legal business name

ABSOLUTE WELLCARE LLC

Doing business as

Absolute Wellcare LLc

Practice address

15800 Arminta St
Van Nuys, CA 91406-1918

Phone

(818) 779-8648

Fax

(818) 779-8672

NPI assigned

Mar 16, 2012

Last updated

Mar 29, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacqueline Kuppermann

Title

Owner

Phone

(818) 779-8648

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Absolute Wellcare LLc Doing business as

Locations

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1679848113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15800 ARMINTA ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914061918",
            "telephone_number": "818-779-8648",
            "fax_number": "818-779-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15800 ARMINTA ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914061918",
            "telephone_number": "818-779-8648",
            "fax_number": "818-779-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE WELLCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-16",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "KUPPERMANN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-779-8648"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "59029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5643742",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Absolute Wellcare LLc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; 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.