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Deactivated NPI 1164738431 Deactivated / Inactive NPI Male Practitioner

Dr. Jack Ebright Wells , PharmD

Pharmacist • Tolleson, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jack Wells has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 25, 2010
NPI Deactivation Date December 12, 2022
Total Practice Duration ~12 Years of Practice (2010 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Jack Wells, PharmD was a registered Pharmacist practicing in Tolleson, AZ. Throughout an active medical career spanning 12 years, Dr. Wells provided care at the practice location at 500 S 99TH AVE until profile deactivation on 2022-12-12.

Practice Location & Contact Primary Location

Practice Address

500 S 99th Ave

Tolleson, AZ 853539700

Telephone 6239074953
Fax 6239074990
Associated Practice Facility / Clinic
🏢 Frys Facility NPI 1194153148

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Tolleson, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
66 Specialists

Practicing in Tolleson, AZ (6928 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License AZ SO10455

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1013304476

Registered Pharmacist

NPI 1104269182

Registered Pharmacist

NPI 1184760092

Doctor of Pharmacy (Pharm.D.)

NPI 1265747299

Doctor of Pharmacy (Pharm.D.)

NPI 1356659833

Pharmacist

NPI 1730420480

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 12, 2022

Record deactivated on December 12, 2022

NPI Profile Active August 25, 2010

NPI status registered as active in NPPES database

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Updated Practice Location August 25, 2010

Registered at 500 S 99TH AVE, TOLLESON, AZ 853539700 (Tel: 6239074953)

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Updated Business Mailing Address August 25, 2010

Registered at 500 S 99TH AVE, TOLLESON, AZ 853539700 (Tel: 6239074953)

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Provider Name / Credentials Updated August 25, 2010

Recorded as JACK WELLS, PHARMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2010

Pharmacist (License #SO10455 in AZ)

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Initial NPI Registration & Enumeration August 25, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164738431
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2010
Last Update: August 25, 2010
Deactivation Date: December 12, 2022

Mailing Address

500 S 99th Ave

Tolleson, AZ 853539700

Phone: 6239074953

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.