Westside Pharmacy, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

PHRE008729 Issued in GA

Legal business name

WESTSIDE PHARMACY, INC.

Practice address

775 West Ave
Suite C
Cartersville, GA 30120-3481

Phone

(770) 387-3455

Fax

(770) 387-3465

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

David W Dexter, R.PH.

Title

President

Phone

(770) 387-3455

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1083711022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 WEST AVE",
            "address_2": "SUITE C",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203481",
            "telephone_number": "770-387-3455",
            "fax_number": "770-387-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 WEST AVE",
            "address_2": "SUITE C",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203481",
            "telephone_number": "770-387-3455",
            "fax_number": "770-387-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DEXTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-387-3455",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "PHRE008729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008141736C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1151048",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Wessel
• West End RX
• West End RX
• Tera Tinina Westbrook, RN
• Westside Family Medicine
• Truwanda Whatley
• Shelly M Whipple, D.C.
• Frank Thomas White Jr., M.ED-CCC
• Kayleigh White, LCSW
• William Keith White, PA-C

• Clinic/Center in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.