Websters Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE005481 Issued in GA

Legal business name

WEBSTERS PHARMACY INC

Practice address

12707 Broad St
Sparta, GA 31087-1734

Phone

(706) 444-5296

Fax

(706) 444-9168

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Fred Webster, RPH

Title

Pres

Phone

(706) 444-5296

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• WEBSTER'S PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1710099734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 296",
            "city": "SPARTA",
            "state": "GA",
            "postal_code": "310870296",
            "telephone_number": "706-444-5296",
            "fax_number": "706-444-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12707 BROAD ST",
            "city": "SPARTA",
            "state": "GA",
            "postal_code": "310871734",
            "telephone_number": "706-444-5296",
            "fax_number": "706-444-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBSTERS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "706-444-5296",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE005481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2012788",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00138399A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEBSTER'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Selectis Sparta LLC
• Sparta Health Care LLC
• The Woods at Sparta of Journey LLC
• Brianica Tucker
• Cierra Nichole Walters, PA-C
• Tiffany Williams
• Nicole Paige Wolbert, FNP-BC

• Community/Retail Pharmacy in Sparta, GA
• Providers in Sparta, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.