NPIMap

Organization Active NPI

Wheeler County Drug Company

  • Community/Retail Pharmacy
  • Glenwood, GA
National Provider Identifier
1992220420
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE010371 Issued in GA
Legal business name
WHEELER COUNTY DRUG COMPANY
Practice address
114 E Second Ave
Glenwood, GA 30428-3626
Phone
(912) 523-2040
Fax
(912) 523-2041
NPI assigned
Aug 5, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Blakely Sutton Dennard, RPH
Title
Owner
Phone
(478) 279-2582

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PHRE010371 GA
Community/Retail Pharmacy 3336C0003X PHRE010371 GA Primary

Addresses

Primary practice location

114 E Second Ave
Glenwood, GA 30428-3626

Mailing address

114 E Second Ave
Glenwood, GA 30428-3626
Phone (912) 523-2040

National Provider Directory

National Provider Directory
Tax ID family
Mabd Enterprises LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1501891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1992220420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E SECOND AVE",
            "city": "GLENWOOD",
            "state": "GA",
            "postal_code": "304283626",
            "telephone_number": "912-523-2040",
            "fax_number": "912-523-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E SECOND AVE",
            "city": "GLENWOOD",
            "state": "GA",
            "postal_code": "304283626",
            "telephone_number": "912-523-2040",
            "fax_number": "912-523-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEELER COUNTY DRUG COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DENNARD",
        "authorized_official_first_name": "BLAKELY",
        "authorized_official_middle_name": "SUTTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-279-2582",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "PHRE010371",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE010371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.