NPIMap

Organization Active NPI

Wellrock Pharmacy LLC

Doing business as Wellrock Pharmacy

  • Community/Retail Pharmacy
  • Rockville, MD
National Provider Identifier
1942608922
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P06683 Issued in MD
Legal business name
WELLROCK PHARMACY LLC
Doing business as
Wellrock Pharmacy
Practice address
9715 Medical Center Dr Ste 100
Rockville, MD 20850-6319
Phone
(301) 424-1411
Fax
(301) 424-0232
NPI assigned
Dec 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Shiddharth PatelNPI 1134870553
Title
Pic / Partner
Phone
(301) 424-1411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X P06683 MD Primary

Addresses

Primary practice location

9715 Medical Center Dr Ste 100
Rockville, MD 20850-6319

Mailing address

9715 Medical Center Dr Ste 100
Rockville, MD 20850-6319
Phone (301) 424-1411

Other identifiers 1

IdentifierTypeStateIssuer
2150236OtherPK

Other names 1

  • Wellrock Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250627001995 DC Part B Supplier - Pharmacy 1355854902 Practice locations: Rockville, MD
O20250819002205 MD DME Supplier - Pharmacy 1355854902 Practice locations: Rockville, MD

National Provider Directory

National Provider Directory
Tax ID family
Wellrock Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9715 Medical Center Dr
Rockville, MD 20850
Phone (301) 340-8855

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1942608922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9715 MEDICAL CENTER DR STE 100",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506319",
            "telephone_number": "301-424-1411",
            "fax_number": "301-424-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9715 MEDICAL CENTER DR STE 100",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506319",
            "telephone_number": "301-424-1411",
            "fax_number": "301-424-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLROCK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHIDDHARTH",
        "authorized_official_title_or_position": "PIC / PARTNER",
        "authorized_official_telephone_number": "301-424-1411"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P06683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150236",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellrock Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.