Organization Active NPI

Wesley Drugs Inc

  • Community/Retail Pharmacy
  • Liberty, KY
National Provider Identifier
1831100346
Registry record updated Oct 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
POO767 Issued in KY
Legal business name
WESLEY DRUGS INC
Practice address
535 Middleburg St
Liberty, KY 42539
Phone
(606) 787-5689
Fax
(606) 787-6181
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2010

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

Authorized official

Name
John Dando
Title
President
Phone
(606) 787-6181

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X POO767 KY Primary

Addresses

Primary practice location

535 Middleburg St
Liberty, KY 42539

Mailing address

PO Box 160
Liberty, KY 42539-0160
Phone (606) 787-5689

Other identifiers 2

IdentifierTypeStateIssuer
1806124OtherNCPDP PROVIDER IDENTIFICATION NUMBER
54001144MedicaidKY

Other names 1

  • WESLEY DRUG COMPANY INC Doing business as

National Provider Directory

National Provider Directory

Locations

535 Middleburg St
Liberty, KY 42539
Phone (606) 787-5689

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1831100346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "LIBERTY",
            "state": "KY",
            "postal_code": "425390160",
            "telephone_number": "606-787-5689",
            "fax_number": "606-787-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 MIDDLEBURG ST",
            "city": "LIBERTY",
            "state": "KY",
            "postal_code": "42539",
            "telephone_number": "606-787-5689",
            "fax_number": "606-787-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "DANDO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-787-6181"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "POO767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1806124",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54001144",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESLEY DRUG COMPANY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Liberty, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.