WELLNESS PHARMACY AND COMPOUNDING CENTER LLC (NPI# 1528573623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528573623 |
| Entity Type | Organization |
| Organization Name | WELLNESS PHARMACY AND COMPOUNDING CENTER LLC |
| Other Organization Name | WELLNESS PHARMACY AND COMPOUND |
| Practice Address |
2601 Blue Ridge Rd Raleigh NC 27607 |
| Mailing Address |
2601 Blue Ridge Rd Raleigh NC 27607-0111 |
| Practice Telephone | 9194132120 |
| Mailing Telephone | 9199645656 |
| Mailing Fax Number | 9199645757 |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2018-09-05 |
| Authorized Official Name | TED JEFFERSON BOYLAN SINO (MANAGER) |
| Authorized Official Telephone | 9199645656 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
13422 | NC | Suppliers |
| Other Name | Type Code |
|---|---|
| Wellness Pharmacy and Compound | Doing Business As Name - Organization |
| Wellness Pharmacy and Compounding Center | Doing Business As Name - Organization |
| Street Address |
2601 BLUE RIDGE RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225022296 | William Charles Kistner | Optometrist | 2601 Blue Ridge Rd, Ste 101, Raleigh, NC 27607-6481 | 2005-09-07 |
| 1871893107 | Apex Family Pharmacy, Inc | Pharmacy | 2601 Blue Ridge Rd, Raleigh, NC 27607-6481 | 2010-11-03 |
| 1972827541 | Spectrum Infusion, Inc | Durable Medical Equipment & Medical Supplies | 2601 Blue Ridge Rd, Suite 2, Raleigh, NC 27607-6481 | 2010-03-25 |
| 1760705891 | Wendy Lynette Haun | Pharmacist | 2601 Blue Ridge Rd, Raleigh, NC 27607-6481 | 2010-03-03 |
| 1992905160 | Raleigh Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2601 Blue Ridge Rd, Raleigh, NC 27607-6481 | 2007-07-24 |
| 1114065513 | Apex Family Pharmacy Inc | Pharmacy | 2601 Blue Ridge Rd, Raleigh, NC 27607-0111 | 2007-02-01 |
| 1588694467 | Bob Morris Opticians, Inc. | Durable Medical Equipment & Medical Supplies | 2601 Blue Ridge Rd, Raleigh, NC 27607-6481 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| 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 |
|---|---|---|---|---|
| 1366073777 | Medly Raleigh Inc. | Pharmacy | 3029 Capital Blvd Ste 105, Raleigh, NC 27604-3377 | 2020-02-04 |
| 1184264897 | Springfield Pharmacy LLC | Pharmacy | 6325 Falls of Neuse Rd Ste 65, Raleigh, NC 27615-6884 | 2020-01-10 |
| 1972146967 | Atlantic Avenue Pharmaceutical, Inc | Pharmacy | 5621 Atlantic Ave, Suite 103, Raleigh, NC 27615 | 2019-10-22 |
| 1639646532 | Oakridge Rx LLC | Pharmacy | 2406 Blue Ridge Rd Ste 180, Raleigh, NC 27607-6692 | 2018-10-29 |
| 1093258295 | U.S. Pharmamed, LLC | Pharmacy | 3450 Tarheel Dr., Ste #101 Bldg. 4, Attn: Licensing, Raleigh, NC 27609 | 2016-11-21 |
| 1821465568 | North Carolina Cvs Pharmacy LLC | Pharmacy | 3001 Hillsborough St, Suite 100, Raleigh, NC 27607-5434 | 2015-08-28 |
| 1073909701 | Onerx, LLC | Pharmacy | 8490 Honeycutt Rd, Suite 103, Raleigh, NC 27615-2262 | 2015-04-09 |
| 1831587476 | Harris Teeter LLC | Pharmacy | 2051 W Millbrook Road, Raleigh, NC 27612 | 2015-01-06 |
| 1780072975 | Harris Teeter LLC | Pharmacy | 2051 W. Millbrook Road, Raleigh, NC 27612 | 2014-12-23 |
| 1346657129 | Morgan Street Pharmacy LLC | Pharmacy | 927 W Morgan St, Ste 100, Raleigh, NC 27603-1600 | 2014-07-14 |
| Find all providers in RALEIGH | ||||
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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.