Wayne Drug Co Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WAYNE DRUG CO INC

Doing business as

Wayne Drug Co

Practice address

24 W Bridge St
Oswego, NY 13126-2051

Phone

(315) 343-5722

Fax

(315) 343-0085

NPI assigned

Nov 2, 2023

Last updated

Jun 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Praveen Challa, M.S, RPH

Title

President

Phone

(315) 343-5722

Specialties & licenses 1

Addresses

Other names 1

• Wayne Drug Co Doing business as

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

Tax ID family

Wayne Drug Co Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Wayne Drug Co Inc

  dba Wayne Drug Co

  • Long Term Care Pharmacy
  • Oswego, NY
  • NPI 1821841305
  NPD tax ID

Practitioners 1

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.

• Sathish Kumar Pattipati Gekotla, PHARMD

  • Pharmacist
  • Troy, NY
  • NPI 1699495069
  NPD

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1235902057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 W BRIDGE ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262051",
            "telephone_number": "315-343-5722",
            "fax_number": "315-343-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 W BRIDGE ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262051",
            "telephone_number": "315-343-5722",
            "fax_number": "315-343-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-02",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "CHALLA",
        "authorized_official_first_name": "PRAVEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-343-5722",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S, RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wayne Drug Co",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Ellen Waters, PT
• Steven Allen Watson, L.P.N.
• Ashley A Watts
• Chelsea Way
• Wanda M Way, RN
• Wayne Drug Co Inc (Wayne Drug Co)
• Wayne Drug of Pulaski, Inc
• Wayne Drug of Pulaski, Inc
• Jo Anne Weaver, PT, DPT
• Jocelyn Webster

• Community/Retail Pharmacy in Oswego, NY
• Providers in Oswego, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.