Wellness Compounding Pharmacy
Wellness Compounding Pharmacy is a healthcare organization registered as Compounding Pharmacy in Medford, OR, holding Type 2 (organization) NPI 1063682805 since 2008. The authorized official on file is Angie Meeker, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063682805 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Wellness Compounding Pharmacy |
| Other name | <Unavail> |
| Practice address | 522 CRATER LAKE AVE, Medford, OR, 97504 |
| Phone | 5417743939 |
| Fax | 5417743933 |
| Enumeration date | 2008-03-07 |
| Last updated in NPPES | 2025-09-19 |
Authorized official
| Name | Angie Meeker |
|---|---|
| Title | President |
| Phone | 5413011465 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 3336C0004X | Compounding Pharmacy | Primary | RP002452C0S | OR |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500738873 | Medicaid | OR | — |
| 2079579 | Other | — | PK |
Copy-ready billing details
Provider: Wellness Compounding Pharmacy NPI: 1063682805 Taxonomy: 3336C0004X (Compounding Pharmacy) Address: 522 CRATER LAKE AVE, Medford, OR, 97504
Verify this record
Cross-check NPI 1063682805 against the authoritative CMS record: view Wellness Compounding Pharmacy on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Wellness Compounding Pharmacy?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-19.