Wellpharm LLC
NPI 1104960202ActiveOrganization· Pharmacist· Canton, GA
Pharmacist in Canton, Georgia, registered in NPPES in February 2007. The authorized official on file is Dale M. Coker, RPH, Manager Pharmacist In Charge. Enrolled in Medicare as part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1104960202 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 20, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | PHRE008814 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (GA) |
|---|
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