Wickliffe Pharmaceuticals, Inc.

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

Legal business name

WICKLIFFE PHARMACEUTICALS, INC.

Doing business as

Wickliffe Veterinary Pharmacy

Practice address

4340 Georgetown Rd
Lexington, KY 40511-9115

Phone

(859) 389-7470

Fax

(859) 381-9252

NPI assigned

Apr 24, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Jackie Bernard

Title

President

Phone

(859) 389-7470

Specialties & licenses 1

Addresses

Other names 1

• Wickliffe Veterinary Pharmacy Doing business as

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1699119313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 GEORGETOWN RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405119115",
            "telephone_number": "859-389-7470",
            "fax_number": "859-381-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 GEORGETOWN RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405119115",
            "telephone_number": "859-389-7470",
            "fax_number": "859-381-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICKLIFFE PHARMACEUTICALS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "BERNARD",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-389-7470",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wickliffe Veterinary Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Whole Life Recovery Center, LLC
• Larry Wayne Whorley, D.S.W, LCSW
• Laura Wick, MSW, CSW
• Ashley Brooke Wicker, MD
• Karen Kim Wicker, CRNA
• Nicholas Widrig
• Lana Widy, LDO
• Sarah Jane Widy
• Alexandra Mary Wiegand
• Ellen Wieger, LCSW

• Mail Order Pharmacy in Lexington, KY
• Providers in Lexington, KY by specialty
• Mail Order Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.