Active NPI
Wellcare Healthcare Pharmacy Inc
- Community/Retail Pharmacy
- Riverside, CA
National Provider Identifier
1780126771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- WELLCARE HEALTHCARE PHARMACY INC
- Practice address
- 9493 Garfield St
Riverside, CA 92503-3765 - Phone
- (951) 299-7100
- Fax
- (951) 299-7959
- NPI assigned
- Nov 8, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Badal Satasia
- Title
- Owner
- Phone
- (951) 299-7100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 54630 | CA | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
9493 Garfield St
Riverside, CA 92503-3765
Mailing address
9493 Garfield St
Riverside, CA 92503-3765
Phone (951) 299-7100
Other names 1
- ICaremore Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210924001953 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 8729485354 | Practice locations: Riverside, CA |
National Provider Directory
National Provider Directory- Tax ID family
- Wellcare Healthcare Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Riverside, CA
- NPI 1558045971
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Long Term Care Pharmacy
- Riverside, CA
- NPI 1558045971
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": "1600819200000",
"number": "1780126771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9493 GARFIELD ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033765",
"telephone_number": "951-299-7100",
"fax_number": "951-299-7959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9493 GARFIELD ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033765",
"telephone_number": "951-299-7100",
"fax_number": "951-299-7959"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLCARE HEALTHCARE PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-08",
"last_updated": "2020-09-23",
"certification_date": "2020-09-23",
"status": "A",
"authorized_official_last_name": "SATASIA",
"authorized_official_first_name": "BADAL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "951-299-7100"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CA",
"license": "54630",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ICaremore Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.