Active NPI
Jerry F. Wells, R.PH.
- Pharmacotherapy Pharmacist
- Crawfordville, FL
National Provider Identifier
1932281607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- PS10770
- Practice address
- 154 Royster Dr
Shell PT. Harbor
Crawfordville, FL 32327-4626 - Phone
- (850) 926-7275
- Fax
- (850) 922-0156
- NPI assigned
- Oct 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | PS10770 | FL | Primary |
Addresses
Primary practice location
154 Royster Dr
Shell PT. Harbor
Crawfordville, FL 32327-4626
Mailing address
154 Royster Dr
Shell PT. Harbor
Crawfordville, FL 32327-4626
Phone (850) 926-7275
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS10770 | FL | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932281607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 ROYSTER DR",
"address_2": "SHELL PT. HARBOR",
"city": "CRAWFORDVILLE",
"state": "FL",
"postal_code": "323274626",
"telephone_number": "850-926-7275",
"fax_number": "850-922-0156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 ROYSTER DR",
"address_2": "SHELL PT. HARBOR",
"city": "CRAWFORDVILLE",
"state": "FL",
"postal_code": "323274626",
"telephone_number": "850-926-7275",
"fax_number": "850-922-0156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "JERRY",
"middle_name": "F.",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "FL",
"license": "PS10770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crawfordville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.