Organization
WAYNE PHARMACY, INC.
Active
Other names
johnston medical and surgical supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH L WIGGINS RPH (PRESIDENT)
(919) 934-4997
Entity
Organization
Contact information
Practice address
514 N BRIGHTLEAF BLVD, SUITE 1202, SMITHFIELD, NC 27577-4407
(919) 934-4997
(919) 934-9280
Mailing address
514 N BRIGHTLEAF BLVD, SUITE 1202, SMITHFIELD, NC 27577-4407
(919) 934-4997
(919) 934-9280
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0043
NC
332BX2000X
Oxygen Equipment & Supplies (DME)
0043
NC
335E00000X
Prosthetic/Orthotic Supplier
Primary
0043
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0484W
BCBS PROVIDER #
NC
05
—
7700457
—
NC
05
—
7795199
—
NC
Enumeration date
12/01/2006
Last updated
09/11/2025
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