Bluewells Family Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

MP0552305 Issued in WV

Legal business name

BLUEWELLS FAMILY PHARMACY INC

Doing business as

Bluewells Family Pharmacy

Practice address

3675 Coal Heritage Rd
Bluefield, WV 24701-9511

Phone

(304) 589-7788

Fax

(304) 589-7759

NPI assigned

Jul 19, 2006

Last updated

Mar 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Harold Wells, RPHNPI 1629611041

Title

President, Owner, Pic, Ao

Phone

(304) 589-7788

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• BLUEWELLS FAMILY PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in WV2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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.

• Harold Wells

  • Pharmacist
  • Bluefield, WV
  • NPI 1629611041
  NPD Authorized official
• Daniel Wells

  • Pharmacist
  • Beckley, WV
  • NPI 1104209873
  NPD

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1972523629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 118",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247010118",
            "telephone_number": "304-589-7788",
            "fax_number": "304-589-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 COAL HERITAGE RD",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247019511",
            "telephone_number": "304-589-7788",
            "fax_number": "304-589-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEWELLS FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "PRESIDENT, OWNER, PIC, AO",
        "authorized_official_telephone_number": "304-589-7788",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "MP0552305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6010026000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010031419",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2111497",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLUEWELLS FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Bluestone Health Association, Inc. (Bluestone Family Practice)
• Jaden Bolen
• Emily Boothe, D.O.
• Elizabeth Kelli Bovenizer Louthan, PHARM D
• Reagan Bowles
• Casey Bowman

• Community/Retail Pharmacy in Bluefield, WV
• Providers in Bluefield, WV by specialty
• Community/Retail Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.