MEDICARE: WELLPLUS PHARMACY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1336079565
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLPLUS PHARMACY LLC

Provider Business Mailing Address
First Line	:	595 CASCADE AVE SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30310-2407
Country	:	US
Telephone Number	:	404-228-0527
Fax Number	:

Provider Business Practice Location Address
First Line	:	595 CASCADE AVE SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30310-2407
Country	:	US
Telephone Number	:	404-228-0527
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BHUMI PATEL
Credential	:
Telephone Number	:	404-228-0527

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

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