West End RX

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE009636 Issued in GA

Legal business name

WEST END RX

Practice address

824 West Ave
Cartersville, GA 30120-6100

Phone

(770) 606-0697

Fax

(770) 606-0695

NPI assigned

Mar 30, 2010

Organization subpart

No

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

Authorized official

Name

Bhavin Patel

Title

Owner

Phone

(770) 606-0697

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• West End Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Tax ID family

West End RX3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Janus RX LLC

  • Long Term Care Pharmacy
  • Cartersville, GA
  • NPI 1891259545
  NPD tax ID
• West End RX

  • Long Term Care Pharmacy
  • Cartersville, GA
  • NPI 1023882313
  NPD tax ID

Locations

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1861717068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 WEST AVE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301206100",
            "telephone_number": "770-606-0697",
            "fax_number": "770-606-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 WEST AVE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301206100",
            "telephone_number": "770-606-0697",
            "fax_number": "770-606-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST END RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "BHAVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-606-0697"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009636",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "785683711A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2124441",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West End Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wellstreet of Georgia PC
• Wellstreet of Georgia PC
• Lane A Wenzell
• Kenneth Wessel
• West End RX
• Tera Tinina Westbrook, RN
• Westside Family Medicine
• Westside Pharmacy, Inc.
• Truwanda Whatley
• Shelly M Whipple, D.C.

• Community/Retail Pharmacy in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.