Organization Active NPI

Wayne Drug Co Inc

  • Long Term Care Pharmacy
  • Oswego, NY
National Provider Identifier
1821841305
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
WAYNE DRUG CO INC
Practice address
24 W Bridge St
Oswego, NY 13126-2051
Phone
(315) 343-5722
NPI assigned
Apr 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Praveen Kumar Challa
Title
President
Phone
(718) 643-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

24 W Bridge St
Oswego, NY 13126-2051

Mailing address

24 W Bridge St
Oswego, NY 13126-2051
Phone (315) 343-5722

Other names 1

  • Wayne Drug Co Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wayne Drug Co Inc2 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.

Locations

24 W Bridge St
Oswego, NY 13126
Phone (315) 343-5722

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1821841305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 W BRIDGE ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262051",
            "telephone_number": "315-343-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 W BRIDGE ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262051",
            "telephone_number": "315-343-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "CHALLA",
        "authorized_official_first_name": "PRAVEEN",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-643-6300"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wayne Drug Co",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oswego, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.