Wellness Plus LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

WELLNESS PLUS LLC

Practice address

1076 Springfield Ave
Irvington, NJ 07111-2467

Phone

(973) 399-1150

NPI assigned

Nov 4, 2022

Organization subpart

Yes

Parent organization

WELLNESSPLUS PHARMACYAs reported in NPPES

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

Authorized official

Name

Mr. Olusegun Bola AdeyemoNPI 1881045987

Title

Ceo

Phone

(973) 399-1150

Specialties & licenses 1

Addresses

Other names 1

• wellnessplus llc Former legal business name

Part of

Wellness Plus LLC

Practitioners 1

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

• Olusegun Bola Adeyemo

  • Pharmacist
  • Irvington, NJ
  • NPI 1881045987
  NPD Authorized official

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1831806249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 SPRINGFIELD AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071112467",
            "telephone_number": "973-399-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 SPRINGFIELD AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071112467",
            "telephone_number": "973-399-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS PLUS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLNESSPLUS PHARMACY",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "ADEYEMO",
        "authorized_official_first_name": "OLUSEGUN",
        "authorized_official_middle_name": "BOLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-399-1150",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "wellnessplus llc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Washington Avenue Pediatrics
• Danielle K Washington, MS, LSW
• Joseph Weaver, LMSW
• Wellcare Solutions LLC
• Wellness Plus LLC
• Tamika Wheeler, LPC, LCADC
• Tiffany White
• Kenazia Amber Whyte, LICENSED MT
• Tameka Williams- Damon, LPN
• Harquan Maurice Williams Jr.

• All providers in Irvington, NJ
• Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.