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WELLCARE PHARMACY & MEDICAL SUPPLY
NPI 1811011620
Pharmacy - Community/Retail Pharmacy in Bossier City, LA

Active since March 19, 2007
4160 AIRLINE DR, BOSSIER CITY, LA 71111(318) 212-9990(318) 212-9993 Get Directions Write a Review

NPPES record last updated: June 5, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wellcare Pharmacy & Medical Supply NPPES

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

WELLCARE PHARMACY & MEDICAL SUPPLY (NPI 1811011620) is a healthcare organization registered as a community/retail pharmacy in Bossier City, Louisiana and active in the NPI registry since March 2007. The organization lists Gary Raymond Kaylor, President, as its authorized official.

NPPES Registry Identity

NPI1811011620
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWELLCARE PHARMACY & HOME INFUSION LLC
Location Address4160 AIRLINE DRBossier City, LA 71111-2050
Mailing Address4160 Airline DrBossier City, LA 71111-2050 · (318) 212-9990 · Fax (318) 212-9993
Phone(318) 212-9990
Fax(318) 212-9993
Organization SubpartNo
Authorized OfficialGary Raymond KaylorPresident · (318) 212-9990
Enumeration DateMarch 19, 2007
Last NPPES UpdateJune 5, 2013
✔ NPI 1811011620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed · 6168-IR
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 1235679 (LA)
4160 AIRLINE DR, Bossier City, LA 71111
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Other Names 1

Doing Business AsWellcare Pharmacy & Medical Supply

Other Identifiers 1

Medicaid1235679LA

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 Wellcare Pharmacy & Home Infusion LLC's NPI number?

The NPI number for Wellcare Pharmacy & Home Infusion LLC is 1811011620. It was assigned to this organization in the NPPES registry on March 19, 2007. The provider is doing business as Wellcare Pharmacy & Medical Supply.

Where is Wellcare Pharmacy & Home Infusion LLC located?

Wellcare Pharmacy & Home Infusion LLC is located at 4160 Airline Dr, Bossier City, LA 71111. The listed phone number is (318) 212-9990.

What is Wellcare Pharmacy & Home Infusion LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Wellcare Pharmacy & Home Infusion LLC was last updated on June 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.