J W Pharmacy
J W Pharmacy is a healthcare organization registered as Pharmacy in Benton, KY, holding Type 2 (organization) NPI 1417067729 since 2006. The authorized official on file is James Wiseman, Owner Pres.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417067729 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | J W Pharmacy |
| Other name | <Unavail> |
| Practice address | 817 MAIN ST, Benton, KY, 42025 |
| Phone | 2705279374 |
| Fax | 2705273152 |
| Enumeration date | 2006-08-30 |
| Last updated in NPPES | 2016-10-11 |
Authorized official
| Name | James Wiseman |
|---|---|
| Title | Owner Pres |
| Phone | 2705279374 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Secondary | 00663 | KY |
| 313M00000X | Nursing Facility/Intermediate Care Facility | Secondary | 00663 | KY |
| 333600000X | Pharmacy | Primary | 00663 | KY |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801100 | Other | KY | NABP |
| 54009600 | Medicaid | KY | — |
Copy-ready billing details
Provider: J W Pharmacy NPI: 1417067729 Taxonomy: 333600000X (Pharmacy) Address: 817 MAIN ST, Benton, KY, 42025
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1215212733 | Amber Manning | Individual | Pharmacist | Benton, KY |
| 1902346232 | Jw Pharmacy Inc | Organization | Long Term Care Pharmacy | Benton, KY |
| 1982276366 | Garrison Wagner | Individual | Pharmacist | Benton, KY |
| 1124988175 | Universal J&E Enterprises, LLC | Organization | Pharmacy | Benton, KY |
Verify this record
Cross-check NPI 1417067729 against the authoritative CMS record: view J W Pharmacy on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for J W Pharmacy?
What is the NPI number for J W Pharmacy?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-10-11.