NPIMap

Organization Active NPI

Wilderness Center Pharmacy Inc

  • Pharmacist
  • Locust Grove, VA
National Provider Identifier
1316941024
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0201002108 Issued in VA
Legal business name
WILDERNESS CENTER PHARMACY INC
Practice address
5479 Germanna Hwy
Locust Grove, VA 22508-2018
Phone
(540) 972-7994
Fax
(540) 972-0706
NPI assigned
Jun 9, 2005
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
Mr. Eugene French Triplett Jr., R.PHNPI 1245234947
Title
President
Phone
(540) 972-7994

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
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 0201002108 VA Primary

Addresses

Primary practice location

5479 Germanna Hwy
Locust Grove, VA 22508-2018

Mailing address

5479 Germanna Hwy
Locust Grove, VA 22508-2018
Phone (540) 972-7994

National Provider Directory

National Provider Directory

Locations

5479 Germanna Hwy
Locust Grove, VA 22508
Phone (540) 972-7994

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316941024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5479 GERMANNA HWY",
            "city": "LOCUST GROVE",
            "state": "VA",
            "postal_code": "225082018",
            "telephone_number": "540-972-7994",
            "fax_number": "540-972-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5479 GERMANNA HWY",
            "city": "LOCUST GROVE",
            "state": "VA",
            "postal_code": "225082018",
            "telephone_number": "540-972-7994",
            "fax_number": "540-972-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDERNESS CENTER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRIPLETT",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "FRENCH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-972-7994",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0201002108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Locust Grove, VA

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.