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BYRD WATSON DRUG CO
NPI 1700876422
Pharmacy in Centralia, IL

Active since October 25, 2005CLIA 14D2285424 · Waiver
1071 W BROADWAY, CENTRALIA, IL 62801(618) 532-2200(618) 533-0566 Get Directions Write a Review

NPPES record last updated: December 12, 2016. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Byrd Watson Drug Co NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BYRD WATSON DRUG CO (NPI 1700876422) is a healthcare organization registered as a pharmacy in Centralia, Illinois and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through July 11, 2027 and lists Wesley N Breeze, Owner Pres, as its authorized official.

NPPES Registry Identity

NPI1700876422
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameBYRD WATSON DRUG CO
Location Address1071 W BROADWAYCentralia, IL 62801-5309
Mailing Address1071 W BroadwayCentralia, IL 62801-5309 · (618) 532-2200 · Fax (618) 533-0566
Phone(618) 532-2200
Fax(618) 533-0566
Organization SubpartNo
Authorized OfficialWesley N BreezeOwner Pres · (618) 532-2200
Enumeration DateOctober 25, 2005
Last NPPES UpdateDecember 12, 2016
✔ NPI 1700876422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
1071 W BROADWAY, Centralia, IL 62801
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Other Identifiers 3

Other1436977Ncpdp
Medicaid=========002IL
Medicare ID-Type Unspecified0244390001

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2285424

Bryd-Watson Drug · Centralia, IL
Active · expires Jul 11, 2027
CLIA Number14D2285424
Laboratory TypePharmacy
Certificate Effective DateJuly 12, 2025
Certificate Expiration DateJuly 11, 2027
Laboratory DirectorKimberly M. Wieter
Laboratory Phone(618) 532-2200
Laboratory LocationBryd-Watson Drug790 W Mccord St, Centralia, IL 62801
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 13

Medicare supplier enrollment and the product categories Byrd Watson Drug Company carries, from the Medicare DMEPOS supplier directory.

Byrd Watson Drug Company

DMEPOS supplier · Centralia, ILOperated by Byrd Watson Drug Co
✔

Accepts Medicare assignment

Byrd Watson Drug Company agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20455625
Medicare Participant SinceApril 11, 2018
Supplier Location1071 W BroadwayCentralia, IL 62801
Phone(618) 532-2200
Provider TypeOxygen & Equipment
Supplier Specialties
Certified Other Pharmacy

Medicare Product Categories

Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
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
Heat & Cold Applications
Heat therapy, Cold therapy, Heating pads
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Walkers
Standard Walkers, Wheeled Walkers, Folding Walker
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MCKENZIE MCKAY PHARMD
Pharmacist
1071 W BROADWAY
CENTRALIA, IL 62801
Marion County (618) 532-2200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Byrd Watson Drug Co's NPI number?

The NPI number for Byrd Watson Drug Co is 1700876422. It was assigned to this organization in the NPPES registry on October 25, 2005.

Where is Byrd Watson Drug Co located?

Byrd Watson Drug Co is located at 1071 W Broadway, Centralia, IL 62801. The listed phone number is (618) 532-2200.

What is Byrd Watson Drug Co's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Byrd Watson Drug Co accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Byrd Watson Drug Company accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Byrd Watson Drug Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2285424) is associated with this NPI, valid through July 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Byrd Watson Drug Co accept?

Health plans from Medica and Moda Health Plan, Inc. list Byrd Watson Drug Co as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Byrd Watson Drug Co was last updated on December 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.