NPIMap

Organization Active NPI

Wilco Drugs LLC

Doing business as Sylvania Pharmacy

  • Community/Retail Pharmacy
  • Sylvania, AL
National Provider Identifier
1124302831
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
112831 Issued in AL
Legal business name
WILCO DRUGS LLC
Doing business as
Sylvania Pharmacy
Practice address
14 Industrial LN
Sylvania, AL 35988-2273
Phone
(256) 638-6070
Fax
(256) 638-6075
NPI assigned
Sep 30, 2011
Last updated
Jan 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Frank TantNPI 1528327681
Title
Owner/Pic
Phone
(256) 638-6070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 112831 AL Primary

Addresses

Primary practice location

14 Industrial LN
Sylvania, AL 35988-2273

Mailing address

875 Ross St
Heflin, AL 36264-1131
Phone (256) 463-2197

Other identifiers 1

IdentifierTypeStateIssuer
2132295OtherPK

Other names 1

  • Sylvania Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130717000506 AL Part B Supplier - Mass Immunization (Roster Biller Only) 4880834738 Practice locations: Sylvania, AL

National Provider Directory

National Provider Directory

Locations

14 Industrial Ln
Sylvania, AL 35988
Phone (256) 638-6070

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1124302831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 ROSS ST",
            "city": "HEFLIN",
            "state": "AL",
            "postal_code": "362641131",
            "telephone_number": "256-463-2197",
            "fax_number": "256-646-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 INDUSTRIAL LN",
            "city": "SYLVANIA",
            "state": "AL",
            "postal_code": "359882273",
            "telephone_number": "256-638-6070",
            "fax_number": "256-638-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILCO DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-30",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "TANT",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "256-638-6070"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "112831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2132295",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sylvania Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sylvania, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.