WELLDYNERX, LLC (NPI# 1265083729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265083729 |
| Entity Type | Organization |
| Organization Name | WELLDYNERX, LLC |
| Other Organization Name | WELDYNERX-FL |
| Practice Address |
500 Eagles Landing Dr Lakeland FL 33810-2899 |
| Practice Telephone | 8635836523 |
| Mailing Telephone | 8635836523 |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2020-08-12 |
| Authorized Official Name | ZACHARY D JOHNSON (PRESIDENT) |
| Authorized Official Telephone | 8635836523 |
| Is Organization Subpart | Y |
| Parent Organization Name | WELLDYNERX, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1093974982 | 05 | |
| KS | 200636740A | 05 | |
| FL | 001055000 | 05 | |
| OK | 20029370A | 05 | |
| IN | 200972230A | 05 | |
| MI | 20200323899433 | 05 | |
| PA | 1024462370001 | 05 | |
| ID | 1093974982 | 05 | |
| WA | 1093974982 | 05 | |
| CO | 9000170493 | 05 | |
| VT | 1017697 | 05 | |
| IA | 0205365 | 05 | |
| WI | 100080584 | 05 | |
| MD | 03285290 | 05 |
| Other Name | Type Code |
|---|---|
| WelDyneRx-FL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700309341 | Welldynerx, LLC | Pharmacy | 7472 S Tucson Way Ste 100-b, Centennial, CO 80112-4452 | 2017-07-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Welldynerx, LLC | 500 Eagles Landing Drive, Lakeland, FL 33810 |
| Oregon Corporations, Companies and Business Names | WELLDYNERX, LLC | 500 Eagles Landing Dr, Lakeland, FL 33810 |
| Colorado Business Entities | WellDyneRx, LLC | 500 Eagles Landing Drive, Lakeland, FL 33810 |
| Street Address |
500 EAGLES LANDING DR |
| City | LAKELAND |
| State | FL |
| Zip Code | 33810-2899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093974982 | Welldynerx LLC | Pharmacy | 500 Eagles Landing Dr, Lakeland, FL 33810-2899 | 2008-06-05 |
| 1265051379 | Clarissa Maravilla | Pharmacist | 500 Eagles Landing Dr, Lakeland, FL 33810-2899 | 2020-04-09 |
| 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 | 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 |
|---|---|---|---|---|
| 1073147849 | Baycare Urgent Care, LLC | Pharmacy | 2645 S Florida Ave, Lakeland, FL 33803-3829 | 2020-03-02 |
| 1003370057 | Riaan Pharmacy LLC | Pharmacy | 2105 New Tampa Hwy, Lakeland, FL 33815-7364 | 2019-01-24 |
| 1902298805 | Us Specialty Care, LLC | Pharmacy | 500 Eagles Landing Dr Ste A, Lakeland, FL 33810-2899 | 2015-03-02 |
| 1326447988 | Lakeland Family Pharmacy | Pharmacy | 605 W Memorial Blvd, Lakeland, FL 33815-1466 | 2014-08-20 |
| 1659668275 | Lakeland Discount Pharmacy | Pharmacy | 1755 E Edgewood Dr, Lakeland, FL 33803-3411 | 2011-07-03 |
| 1760779615 | Med Express Rx | Pharmacy | 1717 Shepherd Rd, Lakeland, FL 33811-2179 | 2011-06-29 |
| 1255405775 | Tri-county Human Services Inc | Pharmacy | 1807 Crystal Lake Dr, Lakeland, FL 33801-5979 | 2006-11-17 |
| 1104911072 | Publix Super Markets, Inc. | Pharmacy | 3300 Publix Corporate Pkwy, Lakeland, FL 33811-3311 | 2006-10-04 |
| 1891899878 | Holiday Cvs LLC | Pharmacy | 101 N Wabash Ave, Lakeland, FL 33815-7368 | 2006-09-12 |
| 1174627061 | Holiday Cvs LLC | Pharmacy | 5010 S Florida Ave, Lakeland, FL 33813-2510 | 2006-09-12 |
| Find all providers in LAKELAND | ||||
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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.