Wellspring Pharmacy Health Inc.

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

WELLSPRING PHARMACY HEALTH INC.

Practice address

1987 W 4TH St Ste 200
Ontario, OH 44906-1708

Phone

(419) 756-2559

NPI assigned

Jan 5, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie Nichole Lane, PHARM DNPI 1992418081

Title

President

Phone

(419) 961-2593

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Nichole Lane, PHARMD

  • Pharmacist
  • Ontario, OH
  • NPI 1992418081
  NPD Authorized official

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1710690656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1987 W 4TH ST STE 200",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449061708",
            "telephone_number": "419-756-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1987 W 4TH ST STE 200",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449061708",
            "telephone_number": "419-756-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING PHARMACY HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-961-2593",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaily Vitullo
• Daniel E Wade Jr., D.O.
• Wal-Mart Stores East LP
• Rita Wallace
• Wallowa Dialysis LLC
• Matthew Wentz, RN
• Lynne Werth, M.D.
• Whiteamire Clinic PA Inc
• Errol Baldwin Williams II, M.D.
• Traci E Willis-Wagner, LISW

• Compounding Pharmacy in Ontario, OH
• Providers in Ontario, OH by specialty
• Compounding Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.