Organization Active NPI

West Prescription Shop

  • Oxygen Equipment & Supplies (DME)
  • Sandersville, GA
National Provider Identifier
1922043488
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
PHRE004150 Issued in GA
Legal business name
WEST PRESCRIPTION SHOP
Practice address
514 Washington Ave
Sandersville, GA 31082-1971
Phone
(478) 552-6111
Fax
(478) 552-6113
NPI assigned
Jun 18, 2006
Last updated
May 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Authorized official

Name
Mr. Lewis M. West Jr., RPH
Title
Owner/Chief Pharmacist
Phone
(478) 552-6111

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X PHRE004150 GA Primary
Prosthetic/Orthotic Supplier 335E00000X CF000278 GA
Community/Retail Pharmacy 3336C0003X PHRE004150 GA

Addresses

Primary practice location

514 Washington Ave
Sandersville, GA 31082-1971

Mailing address

514 Washington Ave
Sandersville, GA 31082-1971
Phone (478) 552-6111

Other identifiers 1

IdentifierTypeStateIssuer
00038101AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930013012 GA DME Supplier - PharmacyDME Supplier - Orthotic PersonnelDME Supplier - Prosthetic PersonnelDME Supplier - Oxygen & Equipment 3870610058 Practice locations: Sandersville, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
West Drug Company514 Washington Ave, Sandersville, GA 31082-1971(478) 552-6111 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipmen… Does not accept assignmentParticipating since Jan 1, 2008

National Provider Directory

National Provider Directory
Tax ID family
West Drug Co2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

514 Washington Ave
Sandersville, GA 31082
Phone (478) 552-6111

Practitioners & affiliated clinicians

Practitioners 3

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": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1922043488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 WASHINGTON AVE",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821971",
            "telephone_number": "478-552-6111",
            "fax_number": "478-552-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 WASHINGTON AVE",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821971",
            "telephone_number": "478-552-6111",
            "fax_number": "478-552-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PRESCRIPTION SHOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/CHIEF PHARMACIST",
        "authorized_official_telephone_number": "478-552-6111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "GA",
            "license": "PHRE004150",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "GA",
            "license": "CF000278",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE004150",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00038101A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.