Wildel, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

6289IR Issued in LA

Legal business name

WILDEL, LLC

Doing business as

The Pill Box Pharmacy #002

Practice address

3311 3Rd St
Alexandria, LA 71302-5704

Phone

(318) 787-2788

Fax

(318) 787-6284

NPI assigned

Aug 18, 2010

Last updated

Mar 7, 2023By 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

Betsy Mayes

Title

Office Manager

Phone

(318) 448-2445

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• THE PILL BOX PHARMACY #002 Doing business as

Tax ID family

The Pill Box Pharmacy 0022 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.

• Wildel, LLC

  dba The Pill Box Pharmacy #003

  • Community/Retail Pharmacy
  • Alexandria, LA
  • NPI 1801134028
  NPD tax ID

Locations

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1467767194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 3RD ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713025704",
            "telephone_number": "318-787-2788",
            "fax_number": "318-787-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 3RD ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713025704",
            "telephone_number": "318-787-2788",
            "fax_number": "318-787-6284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDEL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MAYES",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "318-448-2445"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "6289IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2200381",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1467767194",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE PILL BOX PHARMACY #002",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Whitmore, RN
• Charles Rud Whittington, DC
• Sarah Ann Whittington, BSN, RN, CCRN
• Kai Alexandria Wicker Brown, MD
• Miriam J Wilbon, PA
• Wildel, LLC (The Pill Box Pharmacy)
• Wildel, LLC (The Pill Box Pharmacy #003)
• Jeremy Matthew Wiley, MSN, APRN, FNP-C
• Hailee Cne Wilkins
• Alaiyia Nicole Williams, LCSW

• Community/Retail Pharmacy in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.