Wayne Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

03033 Issued in NC

Legal business name

WAYNE PHARMACY, INC.

Practice address

2302 Wayne Memorial Dr
Goldsboro, NC 27534-1726

Phone

(919) 735-6936

Fax

(919) 735-3001

NPI assigned

Nov 30, 2006

Last updated

Oct 18, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth L Wiggins, RPH

Title

President

Phone

(919) 735-6936

Specialties & licenses 7

Addresses

Other identifiers 3

Tax ID family

Johnston Medical Supply3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Wayne Pharmacy Inc

  • Community/Retail Pharmacy
  • Goldsboro, NC
  • NPI 1659824274
  NPD tax ID
• Wayne Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Goldsboro, NC
  • NPI 1528416898
  NPD tax ID

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318896000000",
    "number": "1790853810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 WAYNE MEMORIAL DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341726",
            "telephone_number": "919-735-6936",
            "fax_number": "919-735-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 WAYNE MEMORIAL DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341726",
            "telephone_number": "919-735-6936",
            "fax_number": "919-735-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2011-10-18",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-735-6936",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "03033",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NC",
            "license": "03033",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NC",
            "license": "03033",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "03033",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "03033",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NC",
            "license": "03033",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NC",
            "license": "03033",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY BCBS PROVIDER #",
            "identifier": "04814",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0965046",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP #",
            "identifier": "3401914",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wayne MRI, LLC
• Wayne Opportunity Center
• Wayne Pharmacy Inc
• Wayne Pharmacy, Inc
• Wayne Pharmacy, Inc.
• Wayne Preparatory Academy
• Wayne Psychiatric Associates, PA
• Wayne Radiologists, P.a.
• Wayne Urological Associates PA
• Wayne Women's Clinic

• Community/Retail Pharmacy in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.