=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538617899
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WECARE RX PLUS INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/15/2016
-----------------------------------------------------
Last Update Date | 10/12/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2405 WESTCHESTER AVE
-----------------------------------------------------
City | BRONX
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10461-3538
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-684-5070
-----------------------------------------------------
Fax | 718-684-5099
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2405 WESTCHESTER AVE
-----------------------------------------------------
City | BRONX
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10461-3538
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-684-5070
-----------------------------------------------------
Fax | 718-684-5099
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PRESIDENT/PIC/AO
-----------------------------------------------------
Name | SHAHEDA ISLAM
-----------------------------------------------------
Credential | RPH
-----------------------------------------------------
Telephone | 718-684-5070
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | 034924
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------