Active NPI
Stokes Pharmacy, Inc
- Community/Retail Pharmacy
- King, NC
National Provider Identifier
1043318918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 02239
- Legal business name
- STOKES PHARMACY, INC
- Practice address
- 533 S Main St
King, NC 27021-9015 - Phone
- (336) 983-3118
- Fax
- (336) 983-2933
- NPI assigned
- Sep 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Corey Fulk, PHARMD
- Title
- Pharmacist/Owner
- Phone
- (336) 983-3118
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 02239 | NC | Primary |
Addresses
Primary practice location
533 S Main St
King, NC 27021-9015
Mailing address
PO Box 446
King, NC 27021-0446
Phone (336) 983-3118
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2066214 | Other | PK | |
| 0855049 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110908001615 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 4981874674 | Practice locations: King, NC |
National Provider Directory
National Provider Directory- Tax ID family
- Stokes Pharmacy Inc
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacist
- King, NC
- NPI 1619287653
-
- Long Term Care Pharmacy
- King, NC
- NPI 1588541916
-
- Long Term Care Pharmacy
- Danbury, NC
- NPI 1689541476
-
- Community/Retail Pharmacy
- Pilot Mountain, NC
- NPI 1740048362
-
- Community/Retail Pharmacy
- Danbury, NC
- NPI 1750489639
Locations
533 S Main St
King, NC 27021
Phone (336) 983-3118
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- King, NC
- NPI 1669756615
-
- Pharmacist
- King, NC
- NPI 1679398911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595548800000",
"number": "1043318918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 446",
"city": "KING",
"state": "NC",
"postal_code": "270210446",
"telephone_number": "336-983-3118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "533 S MAIN ST",
"city": "KING",
"state": "NC",
"postal_code": "270219015",
"telephone_number": "336-983-3118",
"fax_number": "336-983-2933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STOKES PHARMACY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-21",
"last_updated": "2020-07-24",
"certification_date": "2020-07-24",
"status": "A",
"authorized_official_last_name": "FULK",
"authorized_official_first_name": "COREY",
"authorized_official_title_or_position": "PHARMACIST/OWNER",
"authorized_official_telephone_number": "336-983-3118",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NC",
"license": "02239",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2066214",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0855049",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in King, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.