WIREGRASS PHARMACY (WIREGRASS COMMUNITY PHARMACY INC) NPI 1053413450

Pharmacy (Community/Retail Pharmacy) in Ashford, AL

NPI 1053413450 Organization Pharmacy Community/Retail Pharmacy Medicare Supplier Does Not Accept Medicare Approved Payment

About WIREGRASS PHARMACY (WIREGRASS COMMUNITY PHARMACY INC)

Wiregrass Pharmacy (wiregrass Community Pharmacy Inc) is a provider established in Ashford, Alabama specializing in pharmacy (community/retail pharmacy) . The NPI number of Wiregrass Pharmacy (wiregrass Community Pharmacy Inc) is 1053413450 and was assigned on September 2006. The practitioner's primary taxonomy code is 3336C0003X with license number 110190 (AL). The provider is registered as an organization and their NPI record was last updated September 2021. The provider's is doing business as Wiregrass Pharmacy. The authorized official of this NPI record is William Cook Rph (Owner/rph/ao)

Wiregrass Pharmacy is a medicare supplier with PTAN 0373920001 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Wheelchair Seating/Cushions or Canes and/or Crutches or Breast Prostheses and/or Accessories or Ostomy Supplies or Blood Glucose Monitors/Supplies (Non-Mail Order) or Nebulizer Drugs or Seat Lift Mechanisms or Walkers or Orthoses: Off-The-Shelf or Continuous Positive Airway Pressure (CPAP) Devices or Nebulizer Equipment and/or Supplies.

NPI

1053413450

Provider NameWIREGRASS PHARMACY (WIREGRASS COMMUNITY PHARMACY INC)
Provider Location Address430 BROADWAY ST ASHFORD, AL 36312
Provider Mailing AddressPO BOX 367 ASHFORD, AL 36312
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameWIREGRASS PHARMACY
Other Name TypeDoing Business As (3)
Enumeration Date09-05-2006
Last Update Date09-29-2021


Primary Taxonomy

Taxonomy Code3336C0003X
ClassificationPharmacy
TypeSuppliers
SpecializationCommunity/Retail Pharmacy
License No.110190
License StateAL
Taxonomy DescriptionA 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.

Business Address

WIREGRASS PHARMACY
430 BROADWAY ST
ASHFORD, AL
ZIP 36312
Phone: (334) 899-3100
Fax: (334) 899-3186

Get Directions


Mailing Address

WIREGRASS PHARMACY
PO BOX 367
ASHFORD, AL
ZIP 36312
Phone: (334) 899-3100
Fax: (334) 899-3186



Authorized Official

Authorized Official Name WILLIAM COOK RPH
Authorized Official TitleOWNER/RPH/AO
Authorized Official Phone(334) 899-3100

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN0373920001
Accepts Medicare AssignmentNO
Specialities ListCertified Other, Pharmacy, Medical Supply Company Other.
Supplies List
  • Wheelchair Seating/Cushions - Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Breast Prostheses and/or Accessories - Prosthetic bra, Surgical bra
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Seat Lift Mechanisms - Lift chair
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Continuous Positive Airway Pressure (CPAP) Devices - CPAP machines, Compressor systems, Humidifiers, Masks
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
Competitive BiddingNO

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1332B00000XSuppliersDurable Medical Equipment & Medical SuppliesNo

Taxonomy Description: a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1991430OTHER (01)
000054812MEDICAID (05)AL

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1821171398MR. WILLIAM MARVIN COOK, SR RPH
Individual
Pharmacist430 BROADWAY ST
ASHFORD, AL 36312
(334) 899-3100

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.