Wyoming Discount Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010556 Issued in MI

Legal business name

WYOMING DISCOUNT PHARMACY LLC

Practice address

18200 Wyoming St
Detroit, MI 48221-2032

Phone

(313) 341-8888

Fax

(313) 342-8888

NPI assigned

Jun 25, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joe Berri

Title

Owner

Phone

(313) 341-8888

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Wyoming Discount Pharmacy LLC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1013322353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18200 WYOMING ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212032",
            "telephone_number": "313-341-8888",
            "fax_number": "313-342-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18200 WYOMING ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212032",
            "telephone_number": "313-341-8888",
            "fax_number": "313-342-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING DISCOUNT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "BERRI",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-341-8888"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147661",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wyoming Discount Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cassidy Wyatt, OD
• Janet Fredal Wyman, MSN, APRN,BC, NP-C
• Denise Wynn, PEER SUPPORT
• Montez Wynn, CPSS
• Terry A Wynn, M.D.
• Wyrick Wellness Consultants, LLC
• Chelsea Wysinger
• Kathleen Helen Wyszacki Durham, B.S., B.A.
• Xavier Legacy Home Health Services LLC
• Kathy Xavier

• Community/Retail Pharmacy in Detroit, MI
• Providers in Detroit, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.