WELLCARE PHARMACY 2 (NPI# 1720455819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720455819 |
| Entity Type | Organization |
| Organization Name | WELLCARE PHARMACY 2 |
| Other Organization Name | WELLCARE PHARMACY 2 |
| Practice Address |
1550 Pratt St Fl 1 Philadelphia PA 19124-1923 |
| Practice Telephone | 2676868800 |
| Practice Fax Number | 2676868745 |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2019-10-09 |
| Authorized Official Name | MARK LIU (PHARMACY MANAGER) |
| Authorized Official Telephone | 2676868800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP482580 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2153765 | 01 |
| Other Name | Type Code |
|---|---|
| Wellcare Pharmacy 2 | Doing Business As Name - Organization |
| Street Address |
1550 PRATT ST FL 1 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19124-1923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730300104 | Iii Kings Inc. | Technician/Technologist | 1550 Pratt St, Philadelphia, PA 19124-1923 | 2007-05-01 |
| 1902203995 | Mark Liu | Pharmacist | 1550 Pratt St, Philadelphia, PA 19124 | 2014-11-19 |
| 1144626326 | Aboubakar Sylla | Social Worker | 1550 Pratt St, Philadelphia, PA 19124-1923 | 2014-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831749308 | William Mark Hanna Sr. | Pharmacist | 4600 Rooselvelt Blvd Bldg G, Philadelphia, PA 19124 | 2019-09-17 |
| 1881256451 | Medical Discovery Systems, LLC | Durable Medical Equipment & Medical Supplies | 5425 Oxford Ave., 5425 Oxford Ave. Suite (3 A), Philadelphia, PA 19124 | 2019-07-03 |
| 1548731391 | Sierra Pinkney | Registered Nurse | 1615 Granite St, Philadelphia, PA 19124 | 2018-12-05 |
| 1922507987 | Xavier Sergio Henriquez | Counselor | 4510 Frankford Avenue 2nd Floor, Philadelphia, PA 19124 | 2018-02-06 |
| 1558881581 | Isabel Cristina Castillo Hernandez | Pediatrics | 4500-10, Apt 201b, Philadelphia, PA 19124 | 2017-06-21 |
| 1952843732 | Patrick Grugan | Social Worker | Roosevelt Boulevard & Adams Avenue, Philadelphia, PA 19124 | 2016-11-10 |
| 1811340482 | Katarzyna Liwski | Psychiatry & Neurology | 4641 Roosevelt Boulevard, E212, Drexel University College of Medicine Friends Hospital, Philadelphia, PA 19124 | 2016-07-19 |
| 1851769327 | Aleka Kostouros | Social Worker | Roosevelt Blvd & Adams Ave, Northeast Community Center for Behavioral Health, Philadelphia, PA 19124 | 2015-09-14 |
| 1407230378 | Sara Bachani | Psychiatry & Neurology | 4641 Roosevelt Blvd, Friends Hospital, Room 231, Philadelphia, PA 19124 | 2015-07-10 |
| 1215327051 | Alyssa Renee Kirk | Counselor | 4500-10 Frankford Ave, 2nd Floor, Philadelphia, PA 19124 | 2015-02-02 |
| Find all providers in zip 19124 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241408 | Roosevelt Pharmacy LLC | Pharmacy | 2600 Cottman Ave, Philadelphia, PA 19149-1301 | 2020-07-02 |
| 1295355428 | Joe's Pharmacy | Pharmacy | 2401 Pennsylvania Ave Ste 1d7, Philadelphia, PA 19130-3000 | 2020-04-17 |
| 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 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19124 |
Please comment or provide details below to improve the information on WELLCARE PHARMACY 2.
| 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.