Wildel, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WILDEL, LLC

Doing business as

The Pill Box Pharmacy #003

Practice address

403 Bolton Ave
Alexandria, LA 71301-7026

Phone

(318) 448-2445

Fax

(318) 448-9626

NPI assigned

Jan 23, 2013

Last updated

Jan 23, 2013By 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

Mrs. Betsy Mayes

Title

Business Manager

Phone

(318) 448-2445

Specialties & licenses 1

Addresses

Other names 1

• The Pill Box Pharmacy #003 Doing business as

Tax ID family

The Pill Box Pharmacy 0022 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Wildel, LLC

  dba The Pill Box Pharmacy #002

  • Community/Retail Pharmacy
  • Alexandria, LA
  • NPI 1467767194
  NPD tax ID

Locations

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1801134028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 JACKSON STREET EXT",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032505",
            "telephone_number": "318-448-2445",
            "fax_number": "318-448-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 BOLTON AVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713017026",
            "telephone_number": "318-448-2445",
            "fax_number": "318-448-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDEL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "MAYES",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "318-448-2445",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pill Box Pharmacy #003",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Ann Whittington, BSN, RN, CCRN
• Kai Alexandria Wicker Brown, MD
• Miriam J Wilbon, PA
• Wildel, LLC (The Pill Box Pharmacy #002)
• Wildel, LLC (The Pill Box Pharmacy)
• Jeremy Matthew Wiley, MSN, APRN, FNP-C
• Hailee Cne Wilkins
• Alaiyia Nicole Williams, LCSW
• Arsenno Williams, LCSW
• Corey T Williams

• Community/Retail Pharmacy in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.