Wellcare Pharmacy 2

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482580 Issued in PA

Legal business name

WELLCARE PHARMACY 2

Doing business as

Wellcare Pharmacy 2

Practice address

1550 Pratt St
FL 1
Philadelphia, PA 19124-1923

Phone

(267) 686-8800

Fax

(267) 686-8745

NPI assigned

Aug 25, 2015

Organization subpart

No

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

Authorized official

Name

Mark LiuNPI 1902203995

Title

Pharmacy Manager

Phone

(267) 686-8800

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Wellcare Pharmacy 2 Doing business as

Locations

Practitioners 1

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

• Mark Liu

  • Pharmacist
  • Philadelphia, PA
  • NPI 1902203995
  NPD Authorized official

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1720455819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 PRATT ST",
            "address_2": "FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191241923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 PRATT ST",
            "address_2": "FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191241923",
            "telephone_number": "267-686-8800",
            "fax_number": "267-686-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE PHARMACY 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "267-686-8800"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482580",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030380870001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153765",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellcare Pharmacy 2",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellcare Pharmacy 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Wellaid Inc (WellAid Pharmacy Inc.)
• Wellaid Inc.
• Wellcare Pharmacy 3
• Wellcare Pharmacy 4 LLC (Wellcare Pharmacy 4)
• Wellcare Pharmacy Inc
• Wellcare Pharmacy Inc
• Wellcare Pharmacy Inc

• Community/Retail Pharmacy in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.