Active NPI
W5 Pharmacy LTC
- Long Term Care Pharmacy
- Breckenridge, TX
National Provider Identifier
1215723887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- 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, 2026
- Organization subpart
- Yes
- Parent organization
- W5 PHARMACY PLLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Pharmacy
- Part of
- W5 Pharmacy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Throckmorton, TX
- NPI 1417835661
-
- Community/Retail Pharmacy
- Breckenridge, TX
- NPI 1902490428
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.
-
- Community/Retail Pharmacy
- Breckenridge, TX
- NPI 1902490428
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
- TLC GP LLC (Colonial Ridge Nursing Home)
- Wade Brian Toombs, OD
- United Supermarkets LLC (Larson's Pharmacy)
- Villa Haven Health & Rehabilitation Center
- W5 Pharmacy
- Wade B Toombs (Family Eye Clinic)
- Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-438)
- Amy Walker, FNP-C
- Kristin Swan Walling, DPT
- Heather Aline Webb, RPH
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.