Organization Active NPI

Wellcare Pharmacy LLC

  • Pharmacist
  • Paterson, NJ
National Provider Identifier
1891102448
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RS00734400 Issued in NJ
Legal business name
WELLCARE PHARMACY LLC
Practice address
693 E 18TH St
Paterson, NJ 07501-2375
Phone
(973) 925-7757
Fax
(973) 925-7758
NPI assigned
Jul 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Gita Lavani
Title
President
Phone
(201) 428-8930

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 28RS00734400 NJ Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

693 E 18TH St
Paterson, NJ 07501-2375

Mailing address

693 E 18TH St
Paterson, NJ 07501-2375
Phone (973) 925-7757

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1891102448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "693 E 18TH ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075012375",
            "telephone_number": "973-925-7757",
            "fax_number": "973-925-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 E 18TH ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075012375",
            "telephone_number": "973-925-7757",
            "fax_number": "973-925-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "LAVANI",
        "authorized_official_first_name": "GITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-428-8930"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RS00734400",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.