NPIMap

Organization Active NPI

Wells Pharmacy Network LLC

  • Compounding Pharmacy
  • Ocala, FL
National Provider Identifier
1740268549
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
PH26249 Issued in FL
Legal business name
WELLS PHARMACY NETWORK LLC
Doing business as
Wells Pharmacy Network, LLC
Practice address
1210 SW 33Rd Ave
Ocala, FL 34474-2853
Phone
(352) 622-2913
Fax
(352) 401-5650
NPI assigned
Jan 3, 2006
Last updated
Oct 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Authorized official

Name
Darian Chandler
Title
Vice President of Operations and Bu
Phone
(561) 793-1568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X PH26249 FL Primary

Addresses

Primary practice location

1210 SW 33Rd Ave
Ocala, FL 34474-2853

Mailing address

1210 SW 33Rd Ave
Ocala, FL 34474-2853
Phone (352) 622-2913

Other identifiers 1

IdentifierTypeStateIssuer
1002752OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Wells Pharmacy Network, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wells Pharmacy Network LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1740268549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 SW 33RD AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344742853",
            "telephone_number": "352-622-2913",
            "fax_number": "352-401-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 SW 33RD AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344742853",
            "telephone_number": "352-622-2913",
            "fax_number": "352-401-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLS PHARMACY NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-03",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "DARIAN",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS AND BU",
        "authorized_official_telephone_number": "561-793-1568"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "FL",
            "license": "PH26249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1002752",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wells Pharmacy Network, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.