WIREGRASS COMMUNITY PHARMACY INC (NPI# 1053413450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053413450 |
| Entity Type | Organization |
| Organization Name | WIREGRASS COMMUNITY PHARMACY INC |
| Practice Address |
430 Broadway St Ashford AL 36312-0367 |
| Mailing Address |
Po Box 367 Ashford AL 36312-0367 |
| Practice Telephone | 3348993100 |
| Practice Fax Number | 3348993186 |
| Mailing Telephone | 3348993100 |
| Mailing Fax Number | 3348993186 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2018-01-19 |
| Authorized Official Name | WILLIAM COOK (OWNER/RPH/AO) |
| Authorized Official Telephone | 3348993100 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
110190 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 000054812 | 05 | |
| PK | 1991430 | 01 |
| Street Address |
430 BROADWAY ST |
| City | ASHFORD |
| State | AL |
| Zip Code | 36312-0367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821171398 | William Marvin Cook, Sr | Pharmacist | 430 Broadway St, Ashford, AL 36312 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003060328 | Family Practice Clinic P.a. | Family Medicine | 403 Midland St, Ashford, AL 36312 | 2008-11-13 |
| 1629153069 | R. Scott Gamble, D.m.d., P.C. | Dentist | 2740 Battles Rd, Ashford, AL 36312 | 2006-10-26 |
| 1265549562 | Ashford Ambulance and Rescue Squad | Ambulance | 305 Midland St, Ashford, AL 36312 | 2006-08-23 |
| 1477639581 | Robert S Gamble | Dentist | 2740 Battles Rd, Ashford, AL 36312 | 2006-10-31 |
| 1073625778 | Margaret Lewis Smith | Pharmacist | 424 Broadway Ave, Ashford, AL 36312 | 2006-08-31 |
| 1366850307 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 18 N Apple Way St, Ashford, AL 36312-1100 | 2014-07-22 |
| 1164421194 | Ashford Medical Inc. | Durable Medical Equipment & Medical Supplies | 1860 Old Hwy 84, Suite 1, Ashford, AL 36312-4318 | 2005-07-20 |
| 1770723892 | Wendy Shipes Shy | Registered Nurse | 611 Day Rd, Ashford, AL 36312-4374 | 2009-03-02 |
| 1992085658 | Progress Listening & Learning Center LLC | Behavioral Analyst | 215 Midland St, Ashford, AL 36312-4421 | 2011-08-25 |
| 1215105986 | Carmen Long | Nurse's Aide | 180 Shallow Creek Ct, Ashford, AL 36312-4499 | 2008-02-15 |
| Find all providers in zip 36312 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1972144798 | Hh Health System - Marshall LLC | Pharmacy | 11491 Us Highway 431 Ste 1, Albertville, AL 35950-0136 | 2019-10-02 |
| 1275184517 | Avita Drugs Alabama, LLC | Pharmacy | 3220 5th Ave S, Birmingham, AL 35222-2309 | 2019-09-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.