The Wellness Corner, LLC

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

License

114624 Issued in AL

Legal business name

THE WELLNESS CORNER, LLC

Doing business as

The Wellness Corner

Practice address

17733 Old Jefferson Hwy
Prairieville, LA 70769-3934

Phone

(225) 677-8200

Fax

(225) 677-8201

NPI assigned

Feb 12, 2016

Last updated

Jul 19, 2018By 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

Max Huff

Title

Coo

Phone

(225) 677-0120

Specialties & licenses 14

Addresses

Other identifiers 1

Other names 1

• The Wellness Corner Doing business as

Tax ID family

The Wellness Corner2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Wellness Corner, LLC

  dba TWC Compounding Specialist

  • Community/Retail Pharmacy
  • Prairieville, LA
  • NPI 1104869981
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angelle Huff

  • Pharmacist
  • Prairieville, LA
  • NPI 1275072464
  NPD (past)

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1700245289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17733 OLD JEFFERSON HWY",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693934",
            "telephone_number": "225-677-8200",
            "fax_number": "225-677-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17733 OLD JEFFERSON HWY",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693934",
            "telephone_number": "225-677-8200",
            "fax_number": "225-677-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLNESS CORNER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-12",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "HUFF",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "225-677-0120"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHNR000397",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "TX",
            "license": "29094",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "NC",
            "license": "12670",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "LA",
            "license": "PHY.006397-IR",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "AL",
            "license": "114624",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "VA",
            "license": "214002006",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "IA",
            "license": "4881",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "IN",
            "license": "64002439A",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "OH",
            "license": "NRP.022798750-03",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "WA",
            "license": "PHNR.FO.60798674",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "IL",
            "license": "054.020608",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "WI",
            "license": "2041-43",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "TN",
            "license": "6121",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "KY",
            "license": "LA2351",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158047",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wellness Corner",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Wanda F Thomas
• Kaleb Thompson, DPT

• Mail Order Pharmacy in Prairieville, LA
• Providers in Prairieville, LA by specialty
• Mail Order Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.