Organization Active NPI

Bedwick's Pharmacy Inc

Doing business as Bedwick's Pharmacy & Gifts

  • Community/Retail Pharmacy
  • Wilkes Barre, PA
National Provider Identifier
1538164033
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP412380L Issued in PA
Legal business name
BEDWICK'S PHARMACY INC
Doing business as
Bedwick's Pharmacy & Gifts
Practice address
452 Hazle St
Wilkes Barre, PA 18702-4627
Phone
(570) 823-3818
Fax
(570) 825-6189
NPI assigned
Jun 20, 2005
Last updated
Feb 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
George Bedwick
Title
Owner Pharmacist
Phone
(570) 823-3818

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP412380L PA Primary

Addresses

Primary practice location

452 Hazle St
Wilkes Barre, PA 18702-4627

Mailing address

452 Hazle St
Wilkes Barre, PA 18702-4627
Phone (570) 823-3818

Other identifiers 2

IdentifierTypeStateIssuer
001720670MedicaidPA
2080985OtherPK

Other names 1

  • Bedwick's Pharmacy & Gifts Doing business as

National Provider Directory

National Provider Directory

Locations

452 Hazle St
Wilkes Barre, PA 18702
Phone (570) 823-3818

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1538164033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 HAZLE ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187024627",
            "telephone_number": "570-823-3818",
            "fax_number": "570-825-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 HAZLE ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187024627",
            "telephone_number": "570-823-3818",
            "fax_number": "570-825-6189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDWICK'S PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "BEDWICK",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "570-823-3818"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP412380L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001720670",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2080985",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bedwick's Pharmacy & Gifts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.