Organization Active NPI

Wells Pharmacy Services Inc

Doing business as Medicap Pharmacy

  • Community/Retail Pharmacy
  • Sylvania, GA
National Provider Identifier
1730273145
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WELLS PHARMACY SERVICES INC
Doing business as
Medicap Pharmacy
Practice address
331 Mims Rd
Sylvania, GA 30467-1992
Phone
(912) 564-2720
Fax
(912) 564-2717
NPI assigned
Oct 3, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
David D Wells, PHARMDNPI 1518555143
Title
Owner Pharmacist
Phone
(912) 564-2720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 8354 GA
Community/Retail Pharmacy 3336C0003X NU Primary
Long Term Care Pharmacy 3336L0003X PHRE008354 GA

Addresses

Primary practice location

331 Mims Rd
Sylvania, GA 30467-1992

Mailing address

331 Mims Rd
Sylvania, GA 30467-1992
Phone (912) 564-2720

Other identifiers 3

IdentifierTypeStateIssuer
1146504OtherOTHER ID NUMBER-COMMERCIAL NUMBER
00846381BMedicaidGA
00846381AMedicaidGA

Other names 1

  • Medicap Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

331 Mims Rd
Sylvania, GA 30467
Phone (912) 564-2720

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1730273145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 MIMS RD",
            "city": "SYLVANIA",
            "state": "GA",
            "postal_code": "304671992",
            "telephone_number": "912-564-2720",
            "fax_number": "912-564-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 MIMS RD",
            "city": "SYLVANIA",
            "state": "GA",
            "postal_code": "304671992",
            "telephone_number": "912-564-2720",
            "fax_number": "912-564-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLS PHARMACY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "912-564-2720",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "8354",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "GA",
            "license": "PHRE008354",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1146504",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00846381B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00846381A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicap Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sylvania, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.