Active NPI
Baxley Wellness Pharmacy Inc. Long-Term Care
Doing business as Baxley Wellness Pharmacy Inc
- Long Term Care Pharmacy
- Baxley, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- BAXLEY WELLNESS PHARMACY INC. LONG-TERM CARE
- Doing business as
- Baxley Wellness Pharmacy Inc
- Practice address
- 160 Azalea Rd
Baxley, GA 31513-9195 - Phone
- (912) 705-3784
- Fax
- (912) 705-7819
- NPI assigned
- Jun 12, 2023
- Last updated
- Jun 12, 2023
- Organization subpart
- Yes
- Parent organization
- BAXLEY WELLNESS PHARMACY INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Briana Baxley Aycock
- Title
- Owner
- Phone
- (912) 245-4270
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 |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
160 Azalea Rd
Baxley, GA 31513-9195
Mailing address
160 Azalea Rd
Baxley, GA 31513-9195
Phone (912) 705-3784
Other names 1
- Baxley Wellness Pharmacy Inc
National Provider Directory
National Provider Directory- Part of
- Baxley Wellness Pharmacy Inc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Community/Retail Pharmacy
- Baxley, GA
- NPI 1205438330
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Baxley, GA
- NPI 1225642705
-
- Pharmacist
- Baxley, GA
- NPI 1033723515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686528000000",
"number": "1861176877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 AZALEA RD",
"city": "BAXLEY",
"state": "GA",
"postal_code": "315139195",
"telephone_number": "912-705-3784",
"fax_number": "912-705-7819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 AZALEA RD",
"city": "BAXLEY",
"state": "GA",
"postal_code": "315139195",
"telephone_number": "912-705-3784",
"fax_number": "912-705-7819"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAXLEY WELLNESS PHARMACY INC. LONG-TERM CARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BAXLEY WELLNESS PHARMACY INC",
"enumeration_date": "2023-06-12",
"last_updated": "2023-06-12",
"certification_date": "2023-06-10",
"status": "A",
"authorized_official_last_name": "AYCOCK",
"authorized_official_first_name": "BRIANA",
"authorized_official_middle_name": "BAXLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "912-245-4270"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Baxley Wellness Pharmacy Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Baxley, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.