NPIMap

Organization Active NPI

Wiley'S Pharmacy & Compounding Services Inc

  • Long Term Care Pharmacy
  • West Monroe, LA
National Provider Identifier
1023386307
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PHY005903IR Issued in LA
Legal business name
WILEY'S PHARMACY & COMPOUNDING SERVICES INC
Practice address
2403 Arkansas Rd
West Monroe, LA 71291-8611
Phone
(318) 396-1812
Fax
(318) 396-5602
NPI assigned
Dec 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Authorized official

Name
Tracy Copeland
Title
Office Manager
Phone
(318) 396-1812

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X PHY005903IR LA Primary

Addresses

Primary practice location

2403 Arkansas Rd
West Monroe, LA 71291-8611

Mailing address

2403 Arkansas Rd
West Monroe, LA 71291-8611
Phone (318) 396-1812

Other identifiers 2

IdentifierTypeStateIssuer
1217051MedicaidLA
1935963OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Masons' Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mason'S Clinic Pharmacy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1023386307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 ARKANSAS RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712918611",
            "telephone_number": "318-396-1812",
            "fax_number": "318-396-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 ARKANSAS RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712918611",
            "telephone_number": "318-396-1812",
            "fax_number": "318-396-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILEY'S PHARMACY & COMPOUNDING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "318-396-1812"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "LA",
            "license": "PHY005903IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1217051",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1935963",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Masons' Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.