Organization Active NPI

WB Drugs, Inc.

Doing business as RX Drugcenter

  • Community/Retail Pharmacy
  • Bainbridge, GA
National Provider Identifier
1992738686
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE006828 Issued in GA
Legal business name
WB DRUGS, INC.
Doing business as
RX Drugcenter
Practice address
1205 E Shotwell St
Bainbridge, GA 39819-4237
Phone
(229) 246-1000
Fax
(229) 246-5643
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Authorized official

Name
Winston BrockNPI 1770602310
Title
President
Phone
(229) 246-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PHRE006828 GA
Customized Equipment (DME) 332BC3200X PHRE006828 GA
Oxygen Equipment & Supplies (DME) 332BX2000X PHRE006828 GA
Pharmacy 333600000X PHRE006828 GA
Community/Retail Pharmacy 3336C0003X PHRE006828 GA Primary
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X PHRE006828 GA

Addresses

Primary practice location

1205 E Shotwell St
Bainbridge, GA 39819-4237

Mailing address

1205 E Shotwell St
Ste a
Bainbridge, GA 39819-4237
Phone (229) 246-1000

Other identifiers 3

IdentifierTypeStateIssuer
00395392BMedicaidGA
00395392AMedicaidGA
0243542-001OtherGABCBS

Other names 1

  • RX DRUGCENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20070709000172 GA Part B Supplier - Mass Immunization (Roster Biller Only) 8022906668 Practice locations: Bainbridge, GA
O20070829000638 GA Part B Supplier - Public Health/Welfare Agency 8022906668 Practice locations: Bainbridge, GA
O20100930029818 GA DME Supplier - PharmacyDME Supplier - Prosthetic PersonnelDME Supplier - Orthotic PersonnelDME Supplier - Oxygen & EquipmentDME Supplier - Medical Supply Company With Respiratory Therapist 8022906668 Practice locations: Bainbridge, GA

National Provider Directory

National Provider Directory
Tax ID family
RX Drug Center2 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

1205 E Shotwell St
Ste A
Bainbridge, GA 39819
Phone (229) 246-1000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1992738686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 E SHOTWELL ST",
            "address_2": "STE A",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194237",
            "telephone_number": "229-246-1000",
            "fax_number": "229-246-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 E SHOTWELL ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194237",
            "telephone_number": "229-246-1000",
            "fax_number": "229-246-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WB DRUGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "WINSTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-246-1000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "PHRE006828",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "GA",
            "license": "PHRE006828",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "GA",
            "license": "PHRE006828",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE006828",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE006828",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "GA",
            "license": "PHRE006828",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00395392B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00395392A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0243542-001",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RX DRUGCENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RX DRUGCENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bainbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.