NPIMap

Organization Active NPI

Welia Health

  • Community/Retail Pharmacy
  • Mora, MN
National Provider Identifier
1841761871
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WELIA HEALTH
Practice address
301 Highway 65 S
Mora, MN 55051-1899
Phone
(320) 322-5141
NPI assigned
Dec 17, 2018
Organization subpart
Yes
Parent organization
WELIA HEALTHAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Randy Ulseth
Title
Ceo
Phone
(320) 679-1212

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 2

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

Practitioners 60

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

View all 60

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Welia Health Community Pharmacy301 Highway 65 S, Mora, MN 55051-1899(320) 225-3999 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jul 1, 2021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20190408001191 MN Part B Supplier - Mass Immunization (Roster Biller Only) 0648187237 Practice locations: Mora, MN
O20211012001873 MN Part B Supplier - Mass Immunization (Roster Biller Only) 6709295496 1 other NPI on this enrollment
Practice locations: Mora, MN; Pine City, MN
O20211025002439 MN DME Supplier - Pharmacy 6709295496 Practice locations: Mora, MN

All facility ownership & control disclosures 1

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
County of KanabecMora, MN, CCN 247126 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2018

National Provider Directory

National Provider Directory
Tax ID family
Welia Health (3 organizations share this tax ID)
Part of
Welia Health

Locations

20 Union St N
Mora, MN 55051
Phone (320) 679-2020

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

NPPES NPI Registry

Primary practice location

301 Highway 65 S
Mora, MN 55051-1899

Mailing address

301 Highway 65 S
Mora, MN 55051-1899

Other names 1

NPPES NPI Registry
  • Welia Health Community Pharmacy Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 22, 2021.

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1841761871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HIGHWAY 65 S",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550511899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HIGHWAY 65 S",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550511899",
            "telephone_number": "320-322-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELIA HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELIA HEALTH",
        "enumeration_date": "2018-12-17",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "ULSETH",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "320-679-1212"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Welia Health Community Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mora, MN

Sources for this page

Verify at the official NPI Registry.