Wells Pharmacy Network LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5058 Issued in TN

Legal business name

WELLS PHARMACY NETWORK LLC

Practice address

450 US Highway 51 Byp N
Dyersburg, TN 38024-3655

Phone

(731) 882-7000

Fax

(731) 882-7000

NPI assigned

Sep 10, 2012

Organization subpart

No

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

Authorized official

Name

Clint Myers

Title

Pharmacist in Charge

Phone

(731) 882-7000

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Wells Pharmacy Network LLC Doing business as

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.

• Wells Pharmacy Network LLC

  • Compounding Pharmacy
  • Ocala, FL
  • NPI 1740268549
  NPD tax ID
• Wells Pharmacy Network LLC

  • Compounding Pharmacy
  • Wellington, FL
  • NPI 1790054773
  NPD tax ID

Locations

Practitioners 1

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

• Nicholas Santaniello, PHARM.D.

  • Pharmacist
  • Dyersburg, TN
  • NPI 1790138501
  NPD (past)

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1790034460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 US HIGHWAY 51 BYP N",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243655",
            "telephone_number": "731-882-7000",
            "fax_number": "731-882-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 US HIGHWAY 51 BYP N",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243655",
            "telephone_number": "731-882-7000",
            "fax_number": "731-882-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLS PHARMACY NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "CLINT",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "731-882-7000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "5058",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4445272",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wells Pharmacy Network LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Raney Webb, PHARMACIST
• Mallory Weeks, DDS
• Gina R Welch, PT
• Johnnie M Welch, LPC (MHSP), LMFT,
• Wellness Ambulatory Care Inc.
• Henry B Wells, DPT
• Nanette Y. Wells, APN, CRNA, DNSC.
• West Tennessee Dental Group
• West Tennessee Surgical PLC
• West TN Medical, PLLC

• Community/Retail Pharmacy in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Community/Retail Pharmacy in Tennessee

• 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.