Organization Active NPI

Wellness Pharmacy LLC

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1881973519
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
27586 Issued in TX
Legal business name
WELLNESS PHARMACY LLC
Practice address
1480 Wilcrest Dr
Houston, TX 77042-2229
Phone
(713) 532-0008
Fax
(713) 532-0020
NPI assigned
Aug 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Authorized official

Name
Ngozi Agatha Obi, PHARM D
Title
Pic
Phone
(713) 494-5262

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 27586 TX
Community/Retail Pharmacy 3336C0003X 27586 TX Primary

Addresses

Primary practice location

1480 Wilcrest Dr
Houston, TX 77042-2229

Mailing address

1480 Wilcrest Dr
Houston, TX 77042-2229
Phone (713) 532-0008

Other identifiers 1

IdentifierTypeStateIssuer
146456MedicaidTX

National Provider Directory

National Provider Directory

Locations

1480 Wilcrest Dr
Houston, TX 77042
Phone (713) 532-0008

NPI Registry JSON

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1881973519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 WILCREST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422229",
            "telephone_number": "713-532-0008",
            "fax_number": "713-532-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 WILCREST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422229",
            "telephone_number": "713-532-0008",
            "fax_number": "713-532-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "OBI",
        "authorized_official_first_name": "NGOZI",
        "authorized_official_middle_name": "AGATHA",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "713-494-5262",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "27586",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146456",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.