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WELLCARE PHARMACY LLC NPI 1417290008


NPI Information

NPI: 1417290008
Provider Name: WELLCARE PHARMACY LLC

Doing Business As: WELLCARE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
4200 SOUTH FWY STE 26
FORT WORTH, TX
ZIP 76115
Phone: (817) 263-5050
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WELLCARE PHARMACY LLC is a community/retail pharmacy pharmacy in Fort Worth, TX. The provider is 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. WELLCARE PHARMACY LLC NPI is 1417290008. The provider is registered as an organization entity type.
The provider Is Doing Business As Wellcare Pharmacy.

The provider's business location address is:

4200 SOUTH FWY STE 26
FORT WORTH, TX
ZIP 76115-400
Phone: (817) 263-5050
Fax: (817) 263-5020

The provider's authorized official is Varghese Nellikunnat Varkey .
The authorized official title is Pharmacist In Charge and has the following contact phone number (817) 263-5050.

The enumeration date for this NPI number is 4/1/2013 and was last updated on 1/5/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail Pharmacy28493TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1146771MEDICAIDTEXAS
22139768OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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