Wetumpka Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

113792 Issued in AL

Legal business name

WETUMPKA PHARMACY

Doing business as

Wetumpka Pharmacy, LLC

Practice address

277 Huntress St
Suite 101
Wetumpka, AL 36092

Phone

(334) 567-5442

Fax

(334) 567-5423

NPI assigned

Aug 24, 2011

Last updated

Jul 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Juan Latorre, PHARMD

Title

Owner

Phone

(334) 567-5442

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Wetumpka Pharmacy, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

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.

• Kimberly Moses, PHARMD

  • Pharmacist
  • Wetumpka, AL
  • NPI 1174806426
  NPD

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593648000000",
    "number": "1194005918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 HUNTRESS ST",
            "address_2": "SUITE 101",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "36092",
            "telephone_number": "334-567-5442",
            "fax_number": "334-567-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 HUNTRESS ST",
            "address_2": "SUITE 101",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "36092",
            "telephone_number": "334-567-5442",
            "fax_number": "334-567-5423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WETUMPKA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "LATORRE",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-567-5442",
        "authorized_official_credential": "PHARMD"
    },
    "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": "113792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131485",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wetumpka Pharmacy, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wetumpka Pharmacy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wetumpka Family Dentistry PC (Wetumpka Family Dentistry)
• Wetumpka Family Practice PA
• Wetumpka Health and Rehabilitation, LLC
• Wetumpka Hospitalists, P.C.
• Wetumpka Medical Center
• Wetumpka Urgent Care LLC
• Beth Whatley, MS LPC
• Patricia Dianne White McClanahan, PH.D.
• Holly Worden Wilburn, MSN, CRNP, WHNP-BC
• Thomas Henry Wilder, LPC

• Community/Retail Pharmacy in Wetumpka, AL
• Providers in Wetumpka, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.