Organization Active NPI

The Wellness Plan

Doing business as The Wellness Plan Medical Centers

  • Community/Retail Pharmacy
  • Oak Park, MI
National Provider Identifier
1891899852
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301003783 Issued in MI
Legal business name
THE WELLNESS PLAN
Doing business as
The Wellness Plan Medical Centers
Practice address
21040 Greenfield Rd
Oak Park, MI 48237-3025
Phone
(248) 967-6604
Fax
(248) 967-6506
NPI assigned
Sep 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Authorized official

Name
Nabil Shammas, RPH
Title
Pharmacy Supervisor
Phone
(248) 967-6604

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301003783 MI Primary

Addresses

Primary practice location

21040 Greenfield Rd
Oak Park, MI 48237-3025

Mailing address

21040 Greenfield Rd
Oak Park, MI 48237-3025
Phone (248) 967-6604

Other identifiers 2

IdentifierTypeStateIssuer
2043167OtherPK
1887996MedicaidMI

Other names 1

  • THE WELLNESS PLAN MEDICAL CENTERS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1891899852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21040 GREENFIELD RD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482373025",
            "telephone_number": "248-967-6604",
            "fax_number": "248-967-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21040 GREENFIELD RD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482373025",
            "telephone_number": "248-967-6604",
            "fax_number": "248-967-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLNESS PLAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "SHAMMAS",
        "authorized_official_first_name": "NABIL",
        "authorized_official_title_or_position": "PHARMACY SUPERVISOR",
        "authorized_official_telephone_number": "248-967-6604",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301003783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2043167",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1887996",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE WELLNESS PLAN MEDICAL CENTERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Park, MI

Sources for this page

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