WELLCARE PHARMACY 4 LLC (NPI# 1376033365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376033365 |
Entity Type | Organization |
Organization Name | WELLCARE PHARMACY 4 LLC |
Other Organization Name | WELLCARE PHARMACY 4 |
Practice Address |
600 Washington Ave Unit 12 Philadelphia PA 19147-4836 |
Practice Telephone | 2674881099 |
Practice Fax Number | 2674881098 |
Mailing Telephone | 2674881099 |
Mailing Fax Number | 2674881098 |
Enumeration Date | 2018-05-15 |
Last Update Date | 2018-07-19 |
Authorized Official Name | ZENGXING LI (PRESIDENT) |
Authorized Official Telephone | 2674881099 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP482786 | PA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2177796 | 01 |
Other Name | Type Code |
---|---|
Wellcare Pharmacy 4 | Doing Business As Name - Organization |
Street Address |
600 WASHINGTON AVE UNIT 12 |
City | PHILADELPHIA |
State | PA |
Zip Code | 19147-4836 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467995985 | Christopher Park | Physical Therapist | 600 Washington Ave, Suite 18u-a, Philadelphia, PA 19147-4836 | 2016-12-01 |
1053662197 | Optimal Physical Therapy Gym, LLC | Physical Therapist | 600 Washington Ave, Suite 18u-a, Philadelphia, PA 19147-4836 | 2012-09-28 |
1386964773 | Optimal Physical Therapy Gym LLC | Physical Therapist | 600 Washington Ave, Suite 18u-a, Philadelphia, PA 19147-4836 | 2010-06-08 |
1043310048 | Trissie Diem Nguyen | Pharmacist | 600 Washington Ave, Unit# 7, Philadelphia, PA 19147-4836 | 2006-09-22 |
1376643353 | Phuong H Do | Point of Service | 600 Washington Ave, Unit# 18e, Philadelphia, PA 19147-4836 | 2006-09-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508336181 | Jamica Cropper-pam | Counselor | 401 S 2nd St. Suite 301, Philadelphia, PA 19147 | 2018-11-27 |
1598234411 | Halina Dziewolska | Behavioral Analyst | 535 Queen Street, Philadelphia, PA 19147 | 2018-11-20 |
1972072908 | City Dental LLC | Clinic/Center | 1100 Washington Ave 2nd Floor, Philadelphia, PA 19147 | 2018-11-20 |
1487120218 | Christopher Michael Rosado | Behavioral Analyst | 1218-20 South 8th St, 1, Philadelphia, PA 19147 | 2018-10-19 |
1891271722 | Candice Millard | Dietitian, Registered | 419 S 8th St Apt 1b, Philadelphia, PA 19147 | 2018-07-13 |
1669998217 | Julianne Leonarda Wiebalk | Counselor | 814 South 4th Street, 1st Floor, Philadelphia, PA 19147 | 2017-08-16 |
1396269247 | Sara Parente | Social Worker | 1217 Fitzwater St., Unit A, Philadelphia, PA 19147 | 2017-08-02 |
1609398445 | Nikele Riek | Social Worker | 1348 Bainbridge Street, Philadelphia, PA 19147 | 2017-07-13 |
1023556875 | Bralow Medical Group | General Practice | 834 South St., Philadelphia, PA 19147 | 2017-02-01 |
1194196105 | Ann Courto | Dietitian, Registered | 1140 Cross Street, Philadelphia, PA 19147 | 2015-10-16 |
Find all providers in zip 19147 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
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] |
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Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19147 |
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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.