Active NPI
Kendra Wells, PHARM. D.
- Pharmacist
- Bloomington, IN
National Provider Identifier
1871872853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26021777A
- Practice address
- 730 W 2ND St
Bloomington, IN 47403-2210 - Phone
- (812) 331-7979
- NPI assigned
- Aug 9, 2011
- Last updated
- Aug 10, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26021777A | IN | Primary |
Addresses
Primary practice location
730 W 2ND St
Bloomington, IN 47403-2210
Mailing address
730 W 2ND St
Bloomington, IN 47403-2210
Phone (812) 331-7979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26021777A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catozzi Corporation | Current | Accepting new patients |
Locations
730 W 2nd St
Bloomington, IN 47403
Phone (812) 331-7979
Interoperability endpoints
- kendrawells@pharmacy1express.libertysoftwaredirect.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312934400000",
"number": "1871872853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 W 2ND ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032210",
"telephone_number": "812-331-7979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 W 2ND ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032210",
"telephone_number": "812-331-7979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "KENDRA",
"credential": "PHARM. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-09",
"last_updated": "2011-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26021777A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.