Active NPI
Wayne Drug of Pulaski, Inc
- Community/Retail Pharmacy
- Oswego, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 019649
- Legal business name
- WAYNE DRUG OF PULASKI, INC
- Practice address
- 24 W Bridge St
Oswego, NY 13126-2051 - Phone
- (315) 343-5722
- Fax
- (315) 343-0085
- NPI assigned
- Nov 17, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Patrick Branshaw, R.PH.
- Title
- Owner
- Phone
- (315) 343-5722
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 019649 | NY | Primary |
Addresses
Primary practice location
24 W Bridge St
Oswego, NY 13126-2051
Mailing address
24 W Bridge St
Oswego, NY 13126-2051
Phone (315) 343-5722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01252657 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140604000015 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 8123145554 | Practice locations: Oswego, NY |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
24 W Bridge St
Oswego, NY 13126
Phone (315) 343-5722
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.
-
- Pharmacist
- Oswego, NY
- NPI 1528191988
-
- Pharmacist
- Oswego, NY
- NPI 1265565535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1275606097",
"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 OF PULASKI, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BRANSHAW",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "PATRICK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "315-343-5722",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "019649",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01252657",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oswego, NY
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.