Western Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

00280 Issued in AZ

Legal business name

WESTERN DRUG INC

Doing business as

Western Drug

Practice address

106 E Main
Springerville, AZ 85938-0111

Phone

(928) 333-4321

Fax

(928) 333-4328

NPI assigned

Aug 20, 2006

Last updated

Dec 29, 2021By 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

Fred HarperNPI 1851517866

Title

Owner

Phone

(928) 333-4321

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• WESTERN DRUG Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Tax ID family

St Johns Drug2 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.

• Western Drug Inc

  dba St Johns Drug

  • Community/Retail Pharmacy
  • Saint Johns, AZ
  • NPI 1780786186
  NPD tax ID

Locations

Practitioners 5

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.

• Fred Steven Harper, RPH

  • Pharmacist
  • Springerville, AZ
  • NPI 1851517866
  NPD Authorized official
• Joshua David Burton, PHARMD.

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Springerville, AZ
  • NPI 1063930204
  NPD (past)
• Garrett Husted, PHARMD

  • Pharmacist
  • Springerville, AZ
  • NPI 1467261230
  NPD (past)
• Kathleen Whitmore, PHARMD

  • Pharmacist
  • Springerville, AZ
  • NPI 1801343363
  NPD (past)
• Jessica L. Davis, PA-C

  • Physician Assistant
  • Ozark, MO
  • NPI 1568501112
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1285749200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111",
            "city": "SPRINGERVILLE",
            "state": "AZ",
            "postal_code": "859380111",
            "telephone_number": "928-333-4321",
            "fax_number": "928-333-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E MAIN",
            "city": "SPRINGERVILLE",
            "state": "AZ",
            "postal_code": "859380111",
            "telephone_number": "928-333-4321",
            "fax_number": "928-333-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-333-4321"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "00280",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030411",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1997285",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTERN DRUG",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WESTERN DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kathleen Whitmore, PHARMD

• Community/Retail Pharmacy in Springerville, AZ
• Providers in Springerville, AZ by specialty
• Community/Retail Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.