Organization Active NPI

Waynesville Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Waynesville, NC
National Provider Identifier
1841211596
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
05762 Issued in NC
Legal business name
WAYNESVILLE PHARMACY, INC.
Practice address
477 Hazelwood Ave
Waynesville, NC 28786-1946
Phone
(828) 456-5112
Fax
(828) 456-5160
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mrs. Kimberly Buchanan Bowen, PHARMDNPI 1851010599
Title
President
Phone
(828) 456-5112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 05762 NC Primary

Addresses

Primary practice location

477 Hazelwood Ave
Waynesville, NC 28786-1946

Mailing address

477 Hazelwood Ave
Waynesville, NC 28786-1946
Phone (828) 456-5112

Other identifiers 1

IdentifierTypeStateIssuer
0445098MedicaidNC

National Provider Directory

National Provider Directory

Locations

477 Hazelwood Ave
Waynesville, NC 28786
Phone (828) 456-5112

Practitioners & affiliated clinicians

Practitioners 3

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": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1841211596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 HAZELWOOD AVE",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287861946",
            "telephone_number": "828-456-5112",
            "fax_number": "828-456-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 HAZELWOOD AVE",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287861946",
            "telephone_number": "828-456-5112",
            "fax_number": "828-456-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNESVILLE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "BUCHANAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-456-5112",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "05762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445098",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.