Wellness Corner RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

036435 Issued in NY

Legal business name

WELLNESS CORNER RX INC

Practice address

629 Sutter Ave
Brooklyn, NY 11207-4117

Phone

(718) 975-3764

Fax

(718) 975-3766

NPI assigned

Mar 14, 2018

Organization subpart

No

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

Authorized official

Name

Abdul Rehman

Title

President

Phone

(718) 975-3764

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• WELLNESS CORNER RX Other name

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525305600000",
    "number": "1932602158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 SUTTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112074117",
            "telephone_number": "718-975-3764",
            "fax_number": "718-975-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 SUTTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112074117",
            "telephone_number": "718-975-3764",
            "fax_number": "718-975-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CORNER RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-05-03",
        "status": "A",
        "authorized_official_last_name": "REHMAN",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-975-3764"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "036435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176504",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WELLNESS CORNER RX",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; 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.