Organization Active NPI

Wilbur Drug, Inc.

  • Community/Retail Pharmacy
  • Wilbur, WA
National Provider Identifier
1699729418
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
CF00003613 Issued in WA
Legal business name
WILBUR DRUG, INC.
Practice address
2 SW Main Ave
Wilbur, WA 99185-1092
Phone
(509) 647-2034
Fax
(509) 647-2034
NPI assigned
May 19, 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. Patrick J Pyle, RPH
Title
President
Phone
(509) 647-2034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X CF00003613 WA Primary

Addresses

Primary practice location

2 SW Main Ave
Wilbur, WA 99185-1092

Mailing address

2 SW Main Ave
P.O.Box 1092
Wilbur, WA 99185-1092
Phone (509) 647-2034

Other identifiers 4

IdentifierTypeStateIssuer
14710OtherWAL&I NUMBER
CF00003613OtherWAPHARMACY LICENSE
6138606MedicaidWA
4911485OtherWANCPDP NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1699729418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SW MAIN AVE",
            "address_2": "P.O.BOX 1092",
            "city": "WILBUR",
            "state": "WA",
            "postal_code": "991851092",
            "telephone_number": "509-647-2034",
            "fax_number": "509-647-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SW MAIN AVE",
            "city": "WILBUR",
            "state": "WA",
            "postal_code": "991851092",
            "telephone_number": "509-647-2034",
            "fax_number": "509-647-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILBUR DRUG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "PYLE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-647-2034",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00003613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I NUMBER",
            "identifier": "14710",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "CF00003613",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6138606",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "4911485",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilbur, WA

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.