Organization Active NPI

W5 Pharmacy LTC

  • Long Term Care Pharmacy
  • Breckenridge, TX
National Provider Identifier
1215723887
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
W5 PHARMACY LTC
Practice address
1110 E Walker St
Breckenridge, TX 76424-3824
Phone
(254) 559-6979
Fax
(254) 559-6980
NPI assigned
Apr 18, 2025
Last updated
Sep 23, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
W5 PHARMACY PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Authorized official

Name
Dr. Cody Dean Wimberley, PHARMD
Title
Owner/Pic
Phone
(254) 559-6979

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

1110 E Walker St
Breckenridge, TX 76424-3824

Mailing address

1110 E Walker St
Breckenridge, TX 76424-3824
Phone (254) 559-6979

National Provider Directory

National Provider Directory
Tax ID family
W5 Pharmacy3 organizations share this tax ID, including this one
Part of
W5 Pharmacy

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1110 E Walker St
Breckenridge, TX 76424
Phone (254) 366-8291

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1215723887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 E WALKER ST",
            "city": "BRECKENRIDGE",
            "state": "TX",
            "postal_code": "764243824",
            "telephone_number": "254-559-6979",
            "fax_number": "254-559-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 E WALKER ST",
            "city": "BRECKENRIDGE",
            "state": "TX",
            "postal_code": "764243824",
            "telephone_number": "254-559-6979",
            "fax_number": "254-559-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W5 PHARMACY LTC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "W5 PHARMACY PLLC",
        "enumeration_date": "2025-04-18",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "WIMBERLEY",
        "authorized_official_first_name": "CODY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "254-559-6979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Breckenridge, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; 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.