West Fayette Drugs LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WEST FAYETTE DRUGS LLC

Practice address

713A W Fayette St
Syracuse, NY 13204-2902

Phone

(732) 678-8459

NPI assigned

May 9, 2018

Last updated

May 9, 2018By 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

Mallika Kopalle

Title

Owner

Phone

(732) 678-8459

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525824000000",
    "number": "1548759095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713A W FAYETTE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713A W FAYETTE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042902",
            "telephone_number": "732-678-8459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST FAYETTE DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-05-09",
        "status": "A",
        "authorized_official_last_name": "KOPALLE",
        "authorized_official_first_name": "MALLIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-678-8459"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Ovitt Werner, MD
• Kelly Ann Werner, PA-C
• Klaus Werner, MD
• Joseph Wertyschyn, RPH
• Troy Sanford Wescott, CRPA
• West Onondaga Physicians PC
• Abigail P West
• Jessica West, PA
• Marci Jo West, LCSW
• Matthew Frank West, DNP, PMHNP-BC

• Community/Retail Pharmacy in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.