Active NPI
Wilbur Drug, Inc.
- Community/Retail Pharmacy
- Wilbur, WA
National Provider Identifier
1699729418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- CF00003613
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14710 | Other | WA | L&I NUMBER |
| CF00003613 | Other | WA | PHARMACY LICENSE |
| 6138606 | Medicaid | WA | |
| 4911485 | Other | WA | NCPDP NUMBER |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacy Technician
- Wilbur, WA
- NPI 1184678807
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.