Active NPI
W&B Plaza Pharmacy Inc
- Community/Retail Pharmacy
- Swainsboro, GA
National Provider Identifier
1730123787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHRE004549
- Legal business name
- W&B PLAZA PHARMACY INC
- Practice address
- 204 South Main Street
Swainsboro, GA 30401-3648 - Phone
- (478) 237-6621
- Fax
- (478) 237-2217
- NPI assigned
- Jun 16, 2006
- Last updated
- Nov 9, 2020
- Organization subpart
- Yes
- Parent organization
- W & B PLAZA PHARMACY, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Douglas L Wilkinson, R.PH.
- Title
- President
- Phone
- (478) 237-6621
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHRE004549 | GA | Primary |
Addresses
Primary practice location
204 South Main Street
Swainsboro, GA 30401-3648
Mailing address
204 South Main Street
Swainsboro, GA 30401-3648
Phone (478) 237-6621
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000037881A | Medicaid | GA |
National Provider Directory
National Provider Directory- Part of
- Plaza Pharmacy
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Durable Medical Equipment & Medical Supplies
- Swainsboro, GA
- NPI 1326086067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604880000000",
"number": "1730123787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 SOUTH MAIN STREET",
"city": "SWAINSBORO",
"state": "GA",
"postal_code": "304013648",
"telephone_number": "478-237-6621",
"fax_number": "478-237-2217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 SOUTH MAIN STREET",
"city": "SWAINSBORO",
"state": "GA",
"postal_code": "304013648",
"telephone_number": "478-237-6621",
"fax_number": "478-237-2217"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "W&B PLAZA PHARMACY INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "W & B PLAZA PHARMACY, INC.",
"enumeration_date": "2006-06-16",
"last_updated": "2020-11-09",
"certification_date": "2020-11-09",
"status": "A",
"authorized_official_last_name": "WILKINSON",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "478-237-6621",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "GA",
"license": "PHRE004549",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000037881A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Swainsboro, GA
- Unihealth Solutions, Inc. (UniHealth Solutions of Swainsboro)
- United Rehab Inc (United Rehab of Swainsboro)
- Victory Therapy & Wellness, LLC
- Vidalia Urology Associates, LLC
- W&B Plaza Pharmacy Inc
- Sherry Lynn Wages, PTA
- William Donald Wages Jr., PTA
- Robert Jay Wagner, MD
- Wal-Mart Stores East LP (Walmart Pharmacy 10-1024)
- Wal-Mart Stores East, LP (Vision Center 30-1024)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.