J W Pharmacy
NPI 1417067729ActiveOrganization· Pharmacy· Benton, KY
Pharmacy in Benton, Kentucky, registered in NPPES in August 2006. The authorized official on file is James H. Wiseman, Owner Pres. Medicare paid $12,760 for services to 82 patients in 2024.
Overview
| NPI | 1417067729 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 30, 2006 |
| Last updated in NPPES | Oct 11, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 00663 | KY |
| Nursing Facility/Intermediate Care Facility | 313M00000X | 00663 | KY |
| Skilled Nursing Facility | 314000000X | 00663 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 82 |
|---|---|
| Services billed | 196 across 8 procedure codes |
| Paid by Medicare | $12,760 |
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