NPIMap

Organization Active NPI

Wellness 1 Pharmacy- West

  • Long Term Care Pharmacy
  • West Carrollton, OH
National Provider Identifier
1710429709
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PSNH.022653400- Issued in OH
Legal business name
WELLNESS 1 PHARMACY- WEST
Practice address
2092 S Alex Rd Ste B
Suite B
West Carrollton, OH 45449-2491
Phone
(937) 384-7777
Fax
(937) 384-7778
NPI assigned
Nov 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Kimberly Boulton, RPH
Title
Manager
Phone
(937) 384-7777

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X PSNH.022653400- OH Primary

Addresses

Primary practice location

2092 S Alex Rd Ste B
Suite B
West Carrollton, OH 45449-2491

Mailing address

2092 S Alex Rd Ste B
Suite B
West Carrollton, OH 45449-2491
Phone (937) 384-7778

Other identifiers 1

IdentifierTypeStateIssuer
2166154OtherPK

Other names 1

  • WELLNESS1PHARMACY-WEST CARROLLTON SUITE B Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wellness 1 Pharmacy- West2 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.

Locations

2092 S Alex Rd
Ste B
West Carrollton, OH 45449
Phone (937) 384-7777

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1710429709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2092 S ALEX RD STE B",
            "address_2": "SUITE B",
            "city": "WEST CARROLLTON",
            "state": "OH",
            "postal_code": "454492491",
            "telephone_number": "937-384-7778",
            "fax_number": "937-384-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2092 S ALEX RD STE B",
            "address_2": "SUITE B",
            "city": "WEST CARROLLTON",
            "state": "OH",
            "postal_code": "454492491",
            "telephone_number": "937-384-7777",
            "fax_number": "937-384-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS 1 PHARMACY- WEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "BOULTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "937-384-7777",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OH",
            "license": "PSNH.022653400-",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166154",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WELLNESS1PHARMACY-WEST CARROLLTON SUITE B",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Carrollton, OH

Sources for this page

  • 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.