Organization Active NPI

Wells Healthcare Pharmacy Inc.

  • Community/Retail Pharmacy
  • Worcester, MA
National Provider Identifier
1841870946
Registry record updated Dec 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WELLS HEALTHCARE PHARMACY INC.
Practice address
435 Shrewsbury St
Worcester, MA 01604-1689
Phone
(508) 556-1040
Fax
(508) 519-0292
NPI assigned
Apr 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2022

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

Authorized official

Name
Dr. Isaac Adjei, PHARMD
Title
Owner/President
Phone
(508) 556-1040

Specialties & licenses 1

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

Addresses

Primary practice location

435 Shrewsbury St
Worcester, MA 01604-1689

Mailing address

435 Shrewsbury St
Worcester, MA 01604-1689
Phone (508) 556-1040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230111001223 MA Part B Supplier - Mass Immunization (Roster Biller Only) 7113397019 Practice locations: Worcester, MA

National Provider Directory

National Provider Directory

Locations

435 Shrewsbury St
Worcester, MA 01604
Phone (508) 577-2017

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670025600000",
    "number": "1841870946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 SHREWSBURY ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041689",
            "telephone_number": "508-556-1040",
            "fax_number": "508-519-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 SHREWSBURY ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041689",
            "telephone_number": "508-556-1040",
            "fax_number": "508-519-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLS HEALTHCARE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-12",
        "last_updated": "2022-12-03",
        "certification_date": "2022-12-03",
        "status": "A",
        "authorized_official_last_name": "ADJEI",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "508-556-1040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2022; 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.

Verify at the official NPI Registry.