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WELLSPRING CUSTOM PHARMACY
NPI 1477755601
Pharmacy - Compounding Pharmacy in Mansfield, OH

Active since June 01, 2007
2291 W 4TH ST, SUITE A, MANSFIELD, OH 44906(419) 756-2559(419) 756-3135 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wellspring Custom Pharmacy NPPES

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

WELLSPRING CUSTOM PHARMACY (NPI 1477755601) is a healthcare organization registered as a compounding pharmacy in Mansfield, Ohio and active in the NPI registry since June 2007. The organization lists James Bradley Roseborough, President, as its authorized official.

NPPES Registry Identity

NPI1477755601
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameTHE WELLNESS STORE, INC.
Location Address2291 W 4TH ST, SUITE AMansfield, OH 44906-1261
Mailing Address2291 W 4th St, Suite AMansfield, OH 44906-1261 · (419) 756-2559 · Fax (419) 756-3135
Phone(419) 756-2559
Fax(419) 756-3135
Organization SubpartNo
Authorized OfficialJames Bradley RoseboroughPresident · (419) 756-2559
Enumeration DateJune 1, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1477755601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
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.
2291 W 4TH ST, Mansfield, OH 44906
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Other Names 1

Doing Business AsWellspring Custom Pharmacy

Other Providers at the Same Location NPPES 5

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

HEIDI KREGLOW PT
Physical Therapist
2291 W 4TH ST, SUITE D
ONTARIO, OH 44906
Richland County (419) 589-2238
CAMBRIDGE HOME HEALTH CARE, INC.
Home Health
2291 W 4TH ST
ONTARIO, OH 44906
Richland County (567) 241-0464
TRISHA LAYNE RIGGS M.S., CCC-SLP
Speech-Language Pathologist
2291 W 4TH ST, SUITE D
ONTARIO, OH 44906
Richland County (419) 589-2238
ASHLY HULIN SLP
Speech-Language Pathologist
2291 W 4TH ST, SUITE D
ONTARIO, OH 44906
Richland County (419) 589-2238
MICHAEL S MAZAK OTR
Occupational Therapist
2291 W 4TH ST, SUITE D
ONTARIO, OH 44906
Richland County (419) 589-2238

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 The Wellness Store, Inc.'s NPI number?

The NPI number for The Wellness Store, Inc. is 1477755601. It was assigned to this organization in the NPPES registry on June 1, 2007. The provider is doing business as Wellspring Custom Pharmacy.

Where is The Wellness Store, Inc. located?

The Wellness Store, Inc. is located at 2291 W 4th St Suite A, Mansfield, OH 44906. The listed phone number is (419) 756-2559.

What is The Wellness Store, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for The Wellness Store, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.