WELLDYNERX LLC (NPI# 1093974982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093974982 |
| Entity Type | Organization |
| Organization Name | WELLDYNERX LLC |
| Other Organization Name | WELLDYNERX-FL |
| Practice Address |
500 Eagles Landing Dr Lakeland FL 33810-2899 |
| Practice Telephone | 8884792000 |
| Practice Fax Number | 8636865682 |
| Mailing Telephone | 8884792000 |
| Mailing Fax Number | 8636864710 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2020-08-14 |
| Authorized Official Name | ZACHARY JOHNSON (PRESIDENT) |
| Authorized Official Telephone | 8884792000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
PH23389 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100080584 | 05 | |
| ID | 1093974982 | 05 | |
| MN | 1093974982 | 05 | |
| VT | 1017697 | 05 | |
| IA | 0205365 | 05 | |
| WA | 1093974982 | 05 | |
| OK | 20029370A | 05 | |
| MI | 20200323899433 | 05 | |
| PA | 1024462370001 | 05 | |
| PK | 2011832 | 01 | |
| FL | 001055000 | 05 | |
| MD | 032852900 | 05 | |
| KS | 200636740A | 05 | |
| IN | 200972230A | 05 | |
| CO | 9000170493 | 05 |
| Other Name | Type Code |
|---|---|
| WELLDYNERX-FL | Doing Business As Name - Organization |
| Street Address |
500 EAGLES LANDING DR |
| City | LAKELAND |
| State | FL |
| Zip Code | 33810-2899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265051379 | Clarissa Maravilla | Pharmacist | 500 Eagles Landing Dr, Lakeland, FL 33810-2899 | 2020-04-09 |
| 1265083729 | Welldynerx, LLC | Pharmacy | 500 Eagles Landing Dr, Lakeland, FL 33810-2899 | 2019-09-26 |
| 1194195768 | Jennifer Michelle Banks | Pharmacist | 500 Eagles Landing Dr, Lakeland, FL 33810-2899 | 2015-09-25 |
| 1730501396 | Arriva Medical, LLC | Pharmacy | 500 Eagles Landing Dr, Suite B, Lakeland, FL 33810-2899 | 2014-01-15 |
| 1003251380 | Martin Szkodzinski | Pharmacist | 500 Eagles Landing Dr, Suite A, Lakeland, FL 33810-2899 | 2013-05-01 |
| 1619226487 | A - Z Diabetes Care Club LLC | Durable Medical Equipment & Medical Supplies | 500 Eagles Landing Dr, Suite B, Lakeland, FL 33810-2899 | 2012-09-07 |
| 1720381585 | Patrizia Taddei-allen | Pharmacist | 500 Eagles Landing Dr, Lakeland, FL 33810-2899 | 2010-12-15 |
| 1790918274 | Sarah Martinez | Pharmacist | 500 Eagles Landing Dr, Lakeland, FL 33810-2899 | 2009-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811495096 | Suzanne Brabant | Social Worker | 8179 Westmont Terrace Drive, Lakeland, FL 33810 | 2018-01-23 |
| 1396102554 | Faison Health Care Solution | Custodial Care Facility | 2064 View Point Landings Rd, Lakeland, FL 33810 | 2016-01-19 |
| 1306212808 | Drew Brownlow | Physical Therapy Assistant | 6303 Brahman Drive, Lakeland, FL 33810 | 2015-08-19 |
| 1043699051 | Ilene Shumaker Griffin | Home Health Aide | 2930 Oak Tree Ln, Lakeland, FL 33810 | 2015-05-22 |
| 1962881276 | Richardson Anointing Hands | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 708east Ponderosa Dr, Lakeland, FL 33810 | 2015-05-20 |
| 1336352756 | Avito Veloso Vano | Physical Therapist | 9460 Redhawk Bend Lane, Lakeland, FL 33810 | 2007-05-08 |
| 1104978444 | Jean Bednarski Waters | Registered Nurse | 8516 N Campbell Rd, Lakeland, FL 33810 | 2007-01-17 |
| 1407892656 | David Willis Kent | Counselor | 930 Alicea Rd, Lakeland, FL 33810 | 2006-06-22 |
| 1972818359 | Suzanne B Stewart | Pharmacist | 3120 Kathleen Rd, Lakeland, FL 33810 | 2010-08-10 |
| 1689117228 | Kyosha Howard | Occupational Therapist | 3624 Country Ln, Lakeland, FL 33810-0238 | 2016-11-30 |
| Find all providers in zip 33810 | ||||
| Taxonomy Code | 3336M0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Mail Order Pharmacy |
| A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245875616 | Zeta Meds | Pharmacy | 3850 Se 58th Ave, Ocala, FL 34480-7467 | 2019-11-08 |
| 1063976777 | Hiya Rx, LLC | Pharmacy | 1140 E Van Fleet Dr, Bartow, FL 33830-7626 | 2019-01-27 |
| 1316483258 | Mailmyprescriptions Com Pharmacy Corporation | Pharmacy | 622 Banyan Trl Ste 614, Boca Raton, FL 33431-5614 | 2017-01-17 |
| 1114477122 | Benecord Central Fill of Fl LLC | Pharmacy | 28000 Spanish Wells Blvd, Bonita Springs, FL 34135-2850 | 2016-10-13 |
| 1699195164 | Librty for All Pharmacy | Pharmacy | 3034 S Jog Road, Lake Woth, FL 33467-0000 | 2014-04-23 |
| 1053737015 | A&r Pharmacy | Pharmacy | 1201 Us Highway 1 Ste 248, North Palm Beach, FL 33408-8506 | 2014-03-13 |
| 1093143570 | Ergogenic Labs LLC | Pharmacy | 11496 Pierson Rd Ste C6, Wellington, FL 33414-8708 | 2013-10-21 |
| 1699113902 | Med Care Choice Pharmacy, Inc. | Pharmacy | 3570 Consumer St, 8, Riviera Beach, FL 33404-1740 | 2013-06-08 |
| 1386998623 | Lbg Holdings LLC | Pharmacy | 2864 W Main St, Leesburg, FL 34748-4631 | 2012-11-08 |
| 1144576463 | Aventura Rx Pharmacy Inc | Pharmacy | 18749 W Dixie Hwy, Miami, FL 33180-2617 | 2012-07-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.