Active NPI
Waynesville Pharmacy, Inc.
- Community/Retail Pharmacy
- Waynesville, NC
National Provider Identifier
1841211596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 05762
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kimberly Buchanan Bowen, PHARMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0445098 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Waynesville, NC
- NPI 1851010599
-
- Pharmacist
- Waynesville, NC
- NPI 1578170098
-
- Pharmacist
- Waynesville, NC
- NPI 1346969094
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.