1. Home
  2. Directory
  3. Oregon
  4. Medford
  5. Pharmacy
  6. NPI Profile

WELLNESS COMPOUNDING PHARMACY
NPI 1063682805
Pharmacy - Compounding Pharmacy in Medford, OR

Active since March 07, 2008
522 CRATER LAKE AVE, MEDFORD, OR 97504(541) 774-3939(541) 774-3933 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 19, 2025, Jul 19, 2018, Apr 19, 2018 (3 updates tracked since 2018).

About Wellness Compounding Pharmacy NPPES

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

WELLNESS COMPOUNDING PHARMACY (NPI 1063682805) is a healthcare organization registered as a compounding pharmacy in Medford, Oregon and active in the NPI registry since March 2008. The organization lists Angie Meeker, President, as its authorized official.

NPPES Registry Identity

NPI1063682805
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameWELLNESS COMPOUNDING PHARMACY
Location Address522 CRATER LAKE AVEMedford, OR 97504-6810
Mailing Address522 Crater Lake AvenueMedford, OR 97504 · (541) 774-3939 · Fax (541) 774-3933
Phone(541) 774-3939
Fax(541) 774-3933
Organization SubpartNo
Authorized OfficialAngie MeekerPresident · (541) 301-1465
Enumeration DateMarch 7, 2008
Last NPPES UpdateSeptember 19, 20253 updates tracked since enumeration
✔ NPI 1063682805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
License✔ Licensed in OR · RP002452C0S
Definition

A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.

Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
522 CRATER LAKE AVE, Medford, OR 97504
Open in Google Maps ↗

Other Names 1

Doing Business AsWellness Compounding Pharmacy

Other Identifiers 2

Medicaid500738873OR
Other2079579Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

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 Wellness Compounding Pharmacy's NPI number?

The NPI number for Wellness Compounding Pharmacy is 1063682805. It was assigned to this organization in the NPPES registry on March 7, 2008.

Where is Wellness Compounding Pharmacy located?

Wellness Compounding Pharmacy is located at 522 Crater Lake Ave, Medford, OR 97504. The listed phone number is (541) 774-3939.

What is Wellness Compounding Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

What insurance does Wellness Compounding Pharmacy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 27 other insurers list Wellness Compounding Pharmacy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wellness Compounding Pharmacy was last updated on September 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.