Organization Active NPI

Westbury Pharmacy Inc

Doing business as Westbury Pharmacy

  • Community/Retail Pharmacy
  • Saint George, SC
National Provider Identifier
1194914119
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
9680 Issued in SC
Legal business name
WESTBURY PHARMACY INC
Doing business as
Westbury Pharmacy
Practice address
701 N Parler Ave
Saint George, SC 29477-2233
Phone
(843) 563-9384
Fax
(843) 563-9386
NPI assigned
Oct 16, 2007
Last updated
Aug 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Authorized official

Name
Marla Westbury, PHRMD
Title
Owner
Phone
(843) 563-6635

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 9680 SC Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

701 N Parler Ave
Saint George, SC 29477-2233

Mailing address

PO Box 325
Saint George, SC 29477-0325
Phone (843) 563-9384

Other identifiers 2

IdentifierTypeStateIssuer
796808MedicaidSC
2093413OtherPK

Other names 1

  • Westbury Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191031001209 SC Part B Supplier - Pharmacy 5890027478 Practice locations: Saint George, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2184680Westbury Pharmacy, Inc701 North Parler Avenue, Saint George, SC 29477Certificate of waiverMay 21, 2028

National Provider Directory

National Provider Directory

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": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1194914119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 325",
            "city": "SAINT GEORGE",
            "state": "SC",
            "postal_code": "294770325",
            "telephone_number": "843-563-9384",
            "fax_number": "843-563-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N PARLER AVE",
            "city": "SAINT GEORGE",
            "state": "SC",
            "postal_code": "294772233",
            "telephone_number": "843-563-9384",
            "fax_number": "843-563-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTBURY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "WESTBURY",
        "authorized_official_first_name": "MARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-563-6635",
        "authorized_official_credential": "PHRMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "9680",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "796808",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2093413",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westbury Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint George, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.