Wig RX LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WIG RX LLC

Practice address

256 Boston Post Rd
Waterford, CT 06385-2054

Phone

(860) 391-6997

NPI assigned

Sep 10, 2025

Last updated

Sep 10, 2025By 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

Amanda EvansNPI 1922981216

Title

Owner

Phone

(860) 222-5513

Specialties & licenses 1

Addresses

Tax ID family

Wig RX LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Wig RX LLC

  • Prosthetic/Orthotic Supplier
  • Waterford, CT
  • NPI 1033091376
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Evans

  • Specialist
  • Waterford, CT
  • NPI 1922981216
  NPD Authorized official

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1619858180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 S FRONTAGE RD STE 1036",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063202641",
            "telephone_number": "860-391-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 BOSTON POST RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852054",
            "telephone_number": "860-391-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIG RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-222-5513"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waterford Public Schools
• Waterford Vascular Associates, P.C.
• Arlene B Werner, PHD PSYCHOLOGIST
• Ellen M Whewell, PT
• Wig RX LLC
• Melissa A Wiggins, OTR/L
• Kelly Williams
• Wilou Homecare Services LLC (Home Support)
• Wilou Homecare Services LLC (Wilou Health Care Services)
• Winakor's Healing Practice

• Durable Medical Equipment & Medical Supplies in Waterford, CT
• Providers in Waterford, CT by specialty
• Durable Medical Equipment & Medical Supplies in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.