YOUR WELLNESS PHARMACY CORP (NPI# 1780194415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780194415 |
| Entity Type | Organization |
| Organization Name | YOUR WELLNESS PHARMACY CORP |
| Practice Address |
12614 Merrick Blvd Ste F Jamaica NY 11434-3431 |
| Practice Telephone | 7188800000 |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2017-10-09 |
| Authorized Official Name | ABISMAEL QUILES SERRANO (PRESIDENT) |
| Authorized Official Telephone | 7188800000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | YOUR WELLNESS PHARMACY CORP | 775 E 185th St 19, Bronx, New York 10460 |
| Street Address |
12614 MERRICK BLVD STE F |
| City | JAMAICA |
| State | NY |
| Zip Code | 11434-3431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598244329 | Merrick Wellness Inc | Pharmacy | 12614 Merrick Blvd Ste F, Jamaica, NY 11434-3431 | 2018-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726583 | Quwanna M Seymour | Licensed Practical Nurse | Sweet P Home Care Inc 169-37 144th Rd, Jamaica, NY 11434 | 2020-09-29 |
| 1609482645 | Joanquina Beaublanc | Registered Nurse | 170300 130th Ave, Queens, NY 11434 | 2020-09-16 |
| 1386252799 | Maria Akeloko | Behavioral Analyst | 16630 137th Ave, Jamaica, NY 11434 | 2020-07-22 |
| 1023635430 | Jessica Obidimalor | Nurse Practitioner | 165-17 145th Road, Jamaica, NY 11434 | 2020-07-01 |
| 1548885528 | Dominique Alicia Preville | Registered Nurse | 127-14 122nd Street, Apt 2, Queens, NY 11434 | 2020-06-15 |
| 1235754748 | Jameela Scotland | Licensed Practical Nurse | 172 128 Ave, Jamaica, NY 11434 | 2020-06-10 |
| 1447892815 | Accord Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 115-17 Merrick Blvd., Jamaica, NY 11434 | 2019-10-17 |
| 1578122032 | Denise Marie Cahill | Counselor | 175-15 Rockaway Blvd., Janaica, NY 11434 | 2019-06-10 |
| 1235794363 | Whitney Sewell | Social Worker | 115-15 Sutphin Blvd., Jamaica, NY 11434 | 2019-05-03 |
| 1770055832 | Kassandra Maria Campbell | Registered Nurse | 114-76 177th Street, Jamaica, NY 11434 | 2018-12-29 |
| Find all providers in zip 11434 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486562 | Phils Pill Pharmacy, Inc | Pharmacy | 8387 Woodhaven Blvd, Jamaica, NY 11421-1533 | 2020-08-05 |
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| 1316410905 | Zone Pharmacy Inc | Pharmacy | 12520 111th Ave, Jamaica, NY 11420-1537 | 2019-01-07 |
| 1033602271 | Di Pharmacy Corp | Pharmacy | 18217 Jamaica Ave, Jamaica, NY 11423-2327 | 2018-06-12 |
| 1003335597 | Hillside Rx Inc | Pharmacy | 159-22 Hillside Ave, Jamaica, NY 11432 | 2017-09-15 |
| 1487172102 | M & D Elite Pharmacy LLC | Pharmacy | 239-19 Braddock Ave, Jamaica, NY 11426-7209 | 2017-09-01 |
| 1255871356 | Merrick Blvd Pharmacy Inc | Pharmacy | 10950 Merrick Blvd, Jamaica, NY 11433-3039 | 2017-03-08 |
| 1073977633 | Aids Healthcare Foundation | Pharmacy | 16121 Jamaica Ave # 7, Jamaica, NY 11432-6113 | 2016-04-11 |
| 1750747366 | Halim Corp | Pharmacy | 17004 Hillside Ave, Jamaica, NY 11432-4547 | 2016-01-12 |
| 1386014017 | Health and Comfort Rx Inc. | Pharmacy | 147-16 Jamaica Ave, Jamaica, NY 11432-3630 | 2015-10-07 |
| Find all providers in JAMAICA | ||||
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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.