Charles Tyler Wells

Primary specialty

PharmacistTaxonomy code 183500000X

License

021182 Issued in KY

Practice address

221 E Main St
Hazard, KY 41701-1920

Phone

(606) 551-1110

NPI assigned

Jul 22, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hometown Pharmacy of Hazard LLC

  • Community/Retail Pharmacy
  • Hazard, KY
  • NPI 1407484199
  NPD Authorized official

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1922616200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1964",
            "city": "HYDEN",
            "state": "KY",
            "postal_code": "417491964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E MAIN ST",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417011920",
            "telephone_number": "606-551-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "CHARLES",
        "middle_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "021182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgene Waugh, BSW, CADC
• Misty Waugh
• David A Weber, M.C.
• Lisa Weist
• Randall C Weist, LMT
• Morgan Welte, R.D., L.D.
• Burt H Weston, M.D.
• Mable Wetmore
• Martha Caitlin Wheeeler
• Betty Whitaker

• Pharmacist in Hazard, KY
• Providers in Hazard, KY by specialty
• Pharmacist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.