WELLCARE PHARMACY 4 LLC


Address: 600 Washington Ave, Unit 12, Philadelphia, PA 19147-4836
Phone: 2674881099

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
PP482786 PA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2177796 01

Other Provider/Organization Names

Other Name Type Code
Wellcare Pharmacy 4 Doing Business As Name - Organization

Office Location

Street Address 600 WASHINGTON AVE
UNIT 12
City PHILADELPHIA
State PA
Zip Code 19147-4836

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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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1114559713 Broad and Snyder Pharmacy P C Pharmacy 2108 S Broad St Fl 1, Philadelphia, PA 19145-3905 2020-02-11
1194355172 Wyoming Pharmacy LLC Pharmacy 333 E Wyoming Ave, Philadelphia, PA 19120-4434 2020-01-18
1154951267 Nextdoor Community Pharmacy Inc Pharmacy 814 1/2 N 40th St, Philadelphia, PA 19104-4802 2020-01-17
1962048678 Capsule Philadelphia LLC Pharmacy 117 S 20th St, Philadelphia, PA 19103-4606 2019-11-18
1891330031 Penncare Pharmacy Pharmacy 416 Oak Ln, Philadelphia, PA 19126-3136 2019-11-12
1043871874 Ritechoice Pharmacy V, LLC Pharmacy 5201 Haverford Ave Fl 1, Philadelphia, PA 19139-1401 2019-06-24
1366000564 Allegheny Plaza Pharmacy Pharmacy 400 W Allegheny Ave # B2, Philadelphia, PA 19133-3614 2019-06-03
1770146367 Medly Pharmacy Pa Inc. Pharmacy 1222 Walnut St, Philadelphia, PA 19107-5466 2019-04-18
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Competitor

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City PHILADELPHIA
Zip Code 19147

Improve Information

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Dataset Information

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.

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