Westgate Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

00415/1.1 Issued in MS

Legal business name

WESTGATE DRUGS INC

Practice address

1015 Lee Dr
Suite 11
Clarksdale, MS 38614-3698

Phone

(662) 627-7857

Fax

(662) 627-7225

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Eddie Ellis, RPH

Title

Owner/Pharmacist

Phone

(662) 627-7857

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• WESTGATE DRUGS INC Doing business as

Medicare fee-for-service enrollment

Enrolled in MS2 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.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Douglas Leroy Smith III, PHARMD

  • Pharmacist
  • Clarksdale, MS
  • NPI 1770172090
  NPD

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1477618809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 LEE DR",
            "address_2": "SUITE 11",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386143698",
            "telephone_number": "662-627-7857",
            "fax_number": "662-627-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 LEE DR",
            "address_2": "SUITE 11",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386143698",
            "telephone_number": "662-627-7857",
            "fax_number": "662-627-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTGATE DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "662-627-7857",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "00415/1.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00035351",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2050540",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTGATE DRUGS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Skyla Keyuara Brensha Watson, BSW, PCCSS
• Grady Devar Watt, DDS
• Thomas E Weldon, M.D.
• Peggy J Wells, M.D.
• West Clinic, PC
• Teresa Victoria White Powell, MSN, FNP-C
• Patricia White, FNP
• Andrea L Williams, MSW
• Ciera Williams
• Jalisa Williams, MSW

• Community/Retail Pharmacy in Clarksdale, MS
• Providers in Clarksdale, MS by specialty
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.