Organization Active NPI

Wesley T Cowan

Doing business as Sanitary Drug Company

  • Community/Retail Pharmacy
  • White Pine, TN
National Provider Identifier
1215068143
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0000001200 Issued in TN
Legal business name
WESLEY T COWAN
Doing business as
Sanitary Drug Company
Practice address
1627 Main St
White Pine, TN 37890-3302
Phone
(865) 674-2526
Fax
(865) 674-6739
NPI assigned
Mar 9, 2007
Last updated
Mar 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Authorized official

Name
Wesley Cowan, DPH
Title
Pic and Owner
Phone
(865) 674-2526

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 0000001200 TN Primary

Addresses

Primary practice location

1627 Main St
White Pine, TN 37890-3302

Mailing address

PO Box 510
White Pine, TN 37890-0510

Other identifiers 1

IdentifierTypeStateIssuer
4411790OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • SANITARY DRUG COMPANY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1215068143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510",
            "city": "WHITE PINE",
            "state": "TN",
            "postal_code": "378900510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 MAIN ST",
            "city": "WHITE PINE",
            "state": "TN",
            "postal_code": "378903302",
            "telephone_number": "865-674-2526",
            "fax_number": "865-674-6739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY T COWAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "PIC AND OWNER",
        "authorized_official_telephone_number": "865-674-2526",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "0000001200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4411790",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SANITARY DRUG COMPANY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in White Pine, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.