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Wellmart Rx, Inc.

NPI 1023488681ActiveOrganization· Pharmacy· Queens Village, NY

Pharmacy in Queens Village, New York, registered in NPPES in September 2015. The authorized official on file is Simon Davydov, President.

Overview

NPI1023488681
StatusActive
Entity typeOrganization
NPI issuedSep 25, 2015
Last updated in NPPESSep 20, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Pharmacy providers in Queens Village

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