Organization Active NPI

Wester Drug, Inc

  • Pharmacy
  • Wilton, IA
National Provider Identifier
1215907134
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
162214 Issued in IA
Legal business name
WESTER DRUG, INC
Practice address
400 Oveson Dr
Suite #102
Wilton, IA 52778-9612
Phone
(563) 732-5238
NPI assigned
Jan 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cory Garvin, RPHNPI 1134121080
Title
Pharmacist
Phone
(563) 732-5238

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 162214 IA Primary

Addresses

Primary practice location

400 Oveson Dr
Suite #102
Wilton, IA 52778-9612

Mailing address

400 Oveson Dr
Suite #102
Wilton, IA 52778-9612
Phone (563) 732-5238

Other identifiers 1

IdentifierTypeStateIssuer
0442079MedicaidIA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215907134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 OVESON DR",
            "address_2": "SUITE #102",
            "city": "WILTON",
            "state": "IA",
            "postal_code": "527789612",
            "telephone_number": "563-732-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 OVESON DR",
            "address_2": "SUITE #102",
            "city": "WILTON",
            "state": "IA",
            "postal_code": "527789612",
            "telephone_number": "563-732-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTER DRUG, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARVIN",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "563-732-5238",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IA",
            "license": "162214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0442079",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.