Organization Active NPI

Wellhealth Inc

  • Community/Retail Pharmacy
  • Jacksonville, FL
National Provider Identifier
1962443820
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH21321 Issued in FL
Legal business name
WELLHEALTH INC
Practice address
12276 San Jose Blvd Ste 707
Jacksonville, FL 32223-8674
Phone
(904) 880-1660
Fax
(904) 880-1606
NPI assigned
Jun 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Authorized official

Name
Rakesh Patel, RPH
Title
Dir of Pharmacy
Phone
(904) 880-1660

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH21321 FL Primary
Compounding Pharmacy 3336C0004X PHNR000296 GA

Addresses

Primary practice location

12276 San Jose Blvd Ste 707
Jacksonville, FL 32223-8674

Mailing address

12276 San Jose Blvd Ste 707
Jacksonville, FL 32223-8674
Phone (904) 880-1660

Other identifiers 1

IdentifierTypeStateIssuer
2005310OtherPK

Other names 1

  • WELLHEALTHRX PHARMACY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1962443820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12276 SAN JOSE BLVD STE 707",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238674",
            "telephone_number": "904-880-1660",
            "fax_number": "904-880-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12276 SAN JOSE BLVD STE 707",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238674",
            "telephone_number": "904-880-1660",
            "fax_number": "904-880-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLHEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_title_or_position": "DIR OF PHARMACY",
        "authorized_official_telephone_number": "904-880-1660",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH21321",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "GA",
            "license": "PHNR000296",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2005310",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WELLHEALTHRX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.