Wayne Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

12912 Issued in NC

Legal business name

WAYNE PHARMACY INC

Practice address

2302 Wayne Memorial Dr
Goldsboro, NC 27534-1726

Phone

(919) 735-6936

Fax

(919) 735-1109

NPI assigned

Aug 1, 2016

Last updated

Aug 1, 2016By 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

Kenneth Wiggins Jr.

Title

Coprporation President

Phone

(919) 735-6936

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Johnston Medical Supply3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Wayne Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Goldsboro, NC
  • NPI 1528416898
  NPD tax ID
• Wayne Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Goldsboro, NC
  • NPI 1790853810
  NPD tax ID

Locations

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470009600000",
    "number": "1659824274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 WAYNE MEMORIAL DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341726",
            "telephone_number": "919-735-6936",
            "fax_number": "919-735-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 WAYNE MEMORIAL DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341726",
            "telephone_number": "919-735-6936",
            "fax_number": "919-735-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-01",
        "last_updated": "2016-08-01",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "COPRPORATION PRESIDENT",
        "authorized_official_telephone_number": "919-735-6936",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "12912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0965046",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wayne Memorial Hospital Inc
• Wayne Memorial Hospital Inc
• Wayne Memorial Hospital Inc (UNC Health Wayne)
• Wayne MRI, LLC
• Wayne Opportunity Center
• Wayne Pharmacy, Inc
• Wayne Pharmacy, Inc.
• Wayne Pharmacy, Inc.
• Wayne Preparatory Academy
• Wayne Psychiatric Associates, PA

• Community/Retail Pharmacy in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.