Wayfield Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE010407 Issued in GA

Legal business name

WAYFIELD PHARMACY INC.

Practice address

3050 Martin Luther King Jr Dr SW
Unit H
Atlanta, GA 30311-1500

Phone

(404) 699-9000

Fax

(404) 699-9111

NPI assigned

Jul 27, 2017

Organization subpart

No

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

Authorized official

Name

Chinwe Bibi Nwabude, PHARMACY

Title

Credentialing Specialist/Pharmacist

Phone

(770) 993-5520

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• WAYFIELD PHARMACY INC Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1154845642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 767757",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300767757",
            "telephone_number": "770-993-5520",
            "fax_number": "770-993-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 MARTIN LUTHER KING JR DR SW",
            "address_2": "UNIT H",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303111500",
            "telephone_number": "404-699-9000",
            "fax_number": "404-699-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYFIELD PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-27",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "NWABUDE",
        "authorized_official_first_name": "CHINWE BIBI",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST/PHARMACIST",
        "authorized_official_telephone_number": "770-993-5520",
        "authorized_official_credential": "PHARMACY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE010407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2170302",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WAYFIELD PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Way Above ABA LLC
• Mahalia Way, MD, PHD
• Siobhan C Way, MA, LADC, ADCR-MN
• Tiffany Way, LCSW
• Wayfarer Therapies
• Wayne G Suway D.D.S., PC
• Wayne Medical
• Wayne State University School of Medicine
• Joshua Frank Wayne, LMSW, MPH
• Wayside Mental Health, LLC

• Community/Retail Pharmacy in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.