JL Wellness Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

27232 Issued in TX

Legal business name

JL WELLNESS PHARMACY, LLC

Practice address

3030 Towne Centre Dr Ste B
Mesquite, TX 75150-4134

Phone

(972) 364-1793

Fax

(972) 364-1916

NPI assigned

Nov 5, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Brian Picchi

Title

Officer

Phone

(972) 364-1793

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Agape Specialty Pharmacy Doing business as

Locations

Practitioners 1

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

• Jennifer Charbonnet Miles, RPH, BPHARM

  • Pharmacist
  • Houston, TX
  • NPI 1861820367
  NPD (past)

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1962703025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 TOWNE CENTRE DR STE B",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504134",
            "telephone_number": "972-364-1793",
            "fax_number": "972-364-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 TOWNE CENTRE DR STE B",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504134",
            "telephone_number": "972-364-1793",
            "fax_number": "972-364-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JL WELLNESS PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "PICCHI",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "972-364-1793",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "S1545",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "1000726",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27232",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "S1545",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5901649",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agape Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• John a. Ozo
• John H. Fain, OD, PA
• Feni Stanley John, RN-FNP, AGACNP
• Liji Jacob John, MD

• Community/Retail Pharmacy in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.