Organization Active NPI

Wellness Med Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Colorado Springs, CO
National Provider Identifier
1902681281
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WELLNESS MED SUPPLIES LLC
Practice address
2020 N Academy Blvd Ste 265
Colorado Springs, CO 80909-1567
Phone
(800) 680-3963
Fax
(800) 680-3963
NPI assigned
Aug 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Authorized official

Name
Shahrukh S Joseph, PHARMD
Title
Owner
Phone
(800) 680-3963

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2020 N Academy Blvd Ste 265
Colorado Springs, CO 80909-1567

Mailing address

2020 N Academy Blvd Ste 265
Colorado Springs, CO 80909-1567
Phone (800) 680-3963

National Provider Directory

National Provider Directory

Locations

2020 N Academy Blvd
Ste 264
Colorado Springs, CO 80909

2020 N Academy Blvd
Ste 265
Colorado Springs, CO 80909
Phone (800) 680-3963

NPI Registry JSON

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1902681281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 N ACADEMY BLVD STE 265",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091567",
            "telephone_number": "800-680-3963",
            "fax_number": "800-680-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N ACADEMY BLVD STE 265",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091567",
            "telephone_number": "800-680-3963",
            "fax_number": "800-680-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS MED SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-25",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "SHAHRUKH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-680-3963",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.