Organization Active NPI

Baxley Wellness Pharmacy Inc. Long-Term Care

Doing business as Baxley Wellness Pharmacy Inc

  • Long Term Care Pharmacy
  • Baxley, GA
National Provider Identifier
1861176877
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
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, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
BAXLEY WELLNESS PHARMACY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Authorized official

Name
Briana Baxley AycockNPI 1225642705
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)CodeLicenseStatePrimary
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 Doing business as

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.

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.

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.

Verify at the official NPI Registry.