WELLMART RX, INC.
NPI 1023488681
Pharmacy in Queens Village, NY

Active since September 25, 2015
21913 JAMAICA AVE, QUEENS VILLAGE, NY 11428(718) 704-0808(718) 704-0818 Get Directions Write a Review

NPPES record last updated: September 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wellmart Rx, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLMART RX, INC. (NPI 1023488681) is a healthcare organization registered as a pharmacy in Queens Village, New York and active in the NPI registry since September 2015. The organization lists Simon Davydov, President, as its authorized official.

NPPES Registry Identity

NPI1023488681
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWELLMART RX, INC.
Location Address21913 JAMAICA AVEQueens Village, NY 11428-2126
Mailing Address21913 Jamaica AveQueens Village, NY 11428-2126 · (718) 704-0808 · Fax (718) 704-0818
Fax(718) 704-0818
Organization SubpartNo
Authorized OfficialSimon DavydovPresident · (718) 704-0808
Enumeration DateSeptember 25, 2015
Last NPPES UpdateSeptember 20, 2016
NPI 1023488681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
21913 JAMAICA AVE, Queens Village, NY 11428

Other Identifiers 1

Medicare NSC7535470001NY

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
21913 JAMAICA AVE
QUEENS VILLAGE, NY 11428
Pharmacy (Community/Retail Pharmacy)
21913 JAMAICA AVE
QUEENS VILLAGE, NY 11428

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wellmart Rx, Inc.'s NPI number?

The NPI number for Wellmart Rx, Inc. is 1023488681. It was assigned to this organization in the NPPES registry on September 25, 2015.

Where is Wellmart Rx, Inc. located?

Wellmart Rx, Inc. is located at 21913 Jamaica Ave, Queens Village, NY 11428. The listed phone number is (718) 704-0808.

What is Wellmart Rx, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Wellmart Rx, Inc. was last updated on September 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.