Wayland Apothecary

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1438 Issued in MA

Legal business name

WAYLAND APOTHECARY

Practice address

302 Commonwealth Rd
Wayland, MA 01778-5006

Phone

(508) 655-2828

Fax

(508) 650-9052

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David Beck, RPH

Title

Owner

Phone

(508) 665-2828

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497809792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 COMMONWEALTH RD",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017785006",
            "telephone_number": "508-655-2828",
            "fax_number": "508-650-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 COMMONWEALTH RD",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017785006",
            "telephone_number": "508-655-2828",
            "fax_number": "508-650-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYLAND APOTHECARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-665-2828",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "1438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0434116",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Wayland, MA
• Community/Retail Pharmacy in Massachusetts

• 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.