Wellness Ware Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WELLNESS WARE INC

Practice address

1547 NE F St
Grants Pass, OR 97526-4234

Phone

(541) 956-7647

Fax

(541) 956-8739

NPI assigned

Jan 17, 2018

Organization subpart

No

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

Authorized official

Name

Peggy Lee MedinaNPI 1952468704

Title

Owner

Phone

(541) 956-7647

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Peggy L. Medina dba Wellness Ware Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peggy Lee Medina

  • Customized Equipment (DME)
  • Grants Pass, OR
  • NPI 1952468704
  Authorized official Same address or phone

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1952819591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 NE F ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975264234",
            "telephone_number": "541-956-7647",
            "fax_number": "541-956-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1547 NE F ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975264234",
            "telephone_number": "541-956-7647",
            "fax_number": "541-956-8739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS WARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-956-7647"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "247509",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BCBS OREGON",
            "identifier": "820461000",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC SOURCE",
            "identifier": "JE-400-01",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peggy L. Medina dba Wellness Ware",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Celia Marie Welch, A.A.
• Cory Welch
• Edward Welch, D.C.
• Margarita Weld, RN
• Michael Robert Weld, RN, BSN
• Alicia Wells, LMT
• Marc Andrew Wells
• Lindsay Wenger, MD
• James Wenrich
• Amy Catherine Wessner, CPM, LDM

• Durable Medical Equipment & Medical Supplies in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Durable Medical Equipment & Medical Supplies in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.