Active NPI
William Wiest Dba Red Rose Pharmacy
- Community/Retail Pharmacy
- Lancaster, PA
National Provider Identifier
1942295456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP413663L
- Legal business name
- WILLIAM WIEST DBA RED ROSE PHARMACY
- Doing business as
- RED ROSE PHARMACY
- Practice address
- 250 College Ave
Lancaster, PA 17603-3363 - Phone
- (717) 291-1326
- Fax
- (717) 295-5429
- NPI assigned
- Sep 12, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Wiest, RPH.
- Title
- Owner
- Phone
- (717) 291-1326
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PP413663L | PA | Primary |
Addresses
Primary practice location
250 College Ave
Lancaster, PA 17603-3363
Mailing address
250 College Ave
Red Rose Pharmacy, 250 College Ave.
Lancaster, PA 17603-3363
Phone (717) 291-1326
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007377540003 | Medicaid | PA | |
| 1188814 | Medicaid | PA | |
| 3959763 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- RED ROSE PHARMACY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1249516800000",
"number": "1942295456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 COLLEGE AVE",
"address_2": "RED ROSE PHARMACY, 250 COLLEGE AVE.",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176033363",
"telephone_number": "717-291-1326",
"fax_number": "717-295-5429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 COLLEGE AVE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176033363",
"telephone_number": "717-291-1326",
"fax_number": "717-295-5429"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM WIEST DBA RED ROSE PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-12",
"last_updated": "2009-08-06",
"status": "A",
"authorized_official_last_name": "WIEST",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "717-291-1326",
"authorized_official_credential": "RPH."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PA",
"license": "PP413663L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007377540003",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1188814",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "3959763",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RED ROSE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.