NPIMap

Organization Active NPI

Wileys Pharmacy and Compounding Service Inc

  • Community/Retail Pharmacy
  • West Monroe, LA
National Provider Identifier
1598845604
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY.005903-IR Issued in LA
Legal business name
WILEYS PHARMACY AND COMPOUNDING SERVICE INC
Practice address
2403 Arkansas Rd
West Monroe, LA 71291-8611
Phone
(318) 396-1812
Fax
(318) 396-5602
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Authorized official

Name
Angela Wiley, RPH
Title
Secretary
Phone
(318) 396-1812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY.005903-IR LA Primary

Addresses

Primary practice location

2403 Arkansas Rd
West Monroe, LA 71291-8611

Mailing address

2403 Arkansas Rd
West Monroe, LA 71291-8611
Phone (318) 396-1812

Other identifiers 2

IdentifierTypeStateIssuer
1916090OtherNCPDP PROVIDER IDENTIFICATION NUMBER
1250571MedicaidLA

Other names 1

  • MASONS PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mason'S Clinic Pharmacy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2403 Arkansas Rd
West Monroe, LA 71291
Phone (318) 296-1812

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1598845604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 ARKANSAS RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712918611",
            "telephone_number": "318-396-1812",
            "fax_number": "318-396-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 ARKANSAS RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712918611",
            "telephone_number": "318-396-1812",
            "fax_number": "318-396-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILEYS PHARMACY AND COMPOUNDING SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "318-396-1812",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.005903-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1916090",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1250571",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MASONS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.