Wasco Valley Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY47090 Issued in CA

Legal business name

WASCO VALLEY PHARMACY INC

Doing business as

Wasco Medical Supplies

Practice address

1129 7TH St
Wasco, CA 93280-1819

Phone

(661) 758-1123

Fax

(661) 759-2800

NPI assigned

Aug 10, 2006

Last updated

Sep 13, 2011By 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

Morris Lwenya, RPH

Title

Pic and Owner

Phone

(661) 758-1123

Specialties & licenses 6

Addresses

Other identifiers 2

Other names 1

• WASCO MEDICAL SUPPLIES Doing business as

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1942211453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1257",
            "city": "WASCO",
            "state": "CA",
            "postal_code": "932808157",
            "telephone_number": "661-758-1123",
            "fax_number": "661-759-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 7TH ST",
            "city": "WASCO",
            "state": "CA",
            "postal_code": "932801819",
            "telephone_number": "661-758-1123",
            "fax_number": "661-759-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASCO VALLEY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "LWENYA",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_title_or_position": "PIC AND OWNER",
        "authorized_official_telephone_number": "661-758-1123",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY47090",
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5615325",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA470900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WASCO MEDICAL SUPPLIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Wasco Medical Group
• Wasco Union Elementary School District
• Anneliese Kirsten Waters, MSW
• Claudia M. Williams, LCSW
• Eugene Raymond Wood, M.F.T.
• Farshid Yadegar, PH.D.
• Lauren Ashley Yocom

• Community/Retail Pharmacy in Wasco, CA
• Providers in Wasco, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.