Organization Active NPI

Wilcox Drugs Inc.

  • Community/Retail Pharmacy
  • Lebanon, PA
National Provider Identifier
1659320547
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP413769L Issued in PA
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

Updated by the provider on Mar 7, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3950979OtherPANCPDP #
1066713MedicaidPA

Other names 1

  • Medicine Shoppe Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.