Your New Waverly Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28286 Issued in TX

Legal business name

YOUR NEW WAVERLY PHARMACY LLC

Doing business as

Your New Waverly Pharmacy LLC

Practice address

9320C State Highway 75 S
New Waverly, TX 77358-4224

Phone

(936) 344-2424

Fax

(936) 344-2428

NPI assigned

Oct 19, 2012

Last updated

Jul 30, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patricia Webb

Title

Authorized Official

Phone

(936) 344-2424

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Your New Waverly Pharmacy LLC Doing business as

Locations

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1912250507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9320 STATE HIGHWAY 75 S STE C",
            "city": "NEW WAVERLY",
            "state": "TX",
            "postal_code": "773584251",
            "telephone_number": "936-344-2424",
            "fax_number": "936-344-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9320C STATE HIGHWAY 75 S",
            "city": "NEW WAVERLY",
            "state": "TX",
            "postal_code": "773584224",
            "telephone_number": "936-344-2424",
            "fax_number": "936-344-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR NEW WAVERLY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "936-344-2424"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "28286",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5907273",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your New Waverly Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Waverly Primary Care, PLLC
• Janis A Wells, PT
• Phillip Wayne Wells, PT
• Cayla J Wheaton
• Donald Lee Williams

• Community/Retail Pharmacy in New Waverly, TX
• Providers in New Waverly, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.