Active NPI
Wilcox Drugs Inc.
- Community/Retail Pharmacy
- Lebanon, PA
National Provider Identifier
1659320547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP413769L
- Legal business name
- WILCOX DRUGS INC.
- Doing business as
- Medicine Shoppe
- Practice address
- 1305 Cumberland St
Lebanon, PA 17042-4529 - Phone
- (717) 274-1500
- Fax
- (717) 274-2583
- NPI assigned
- May 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David Wilcox, R.PH
- Title
- Owner/Pharmacist
- Phone
- (717) 274-1500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PP413769L | PA | Primary |
Addresses
Primary practice location
1305 Cumberland St
Lebanon, PA 17042-4529
Mailing address
1305 Cumberland St
Lebanon, PA 17042-4529
Phone (717) 274-1500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3950979 | Other | PA | NCPDP # |
| 1066713 | Medicaid | PA |
Other names 1
- Medicine Shoppe
National Provider Directory
National Provider DirectoryLocations
1305 Cumberland St
Lebanon, PA 17042
Phone (717) 274-1500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1659320547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 CUMBERLAND ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "170424529",
"telephone_number": "717-274-1500",
"fax_number": "717-274-2583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 CUMBERLAND ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "170424529",
"telephone_number": "717-274-1500",
"fax_number": "717-274-2583"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILCOX DRUGS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-08",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "WILCOX",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "717-274-1500",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PA",
"license": "PP413769L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP #",
"identifier": "3950979",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1066713",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medicine Shoppe",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.