Vance-Warren Comprehensive Health Plan Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

03754 Issued in NC

Legal business name

VANCE-WARREN COMPREHENSIVE HEALTH PLAN PHARMACY

Practice address

986 Manson Axtell Road
Manson, NC 27553-0425

Phone

(252) 456-2181

Fax

(252) 456-2115

NPI assigned

Feb 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Charles J Worth

Title

Ceo

Phone

(252) 456-2004

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Alvarez, DDS

  • General Practice Dentistry
  • Manson, NC
  • NPI 1770609703
  NPD (past)
• Juqetta Sheffield, FNP

  • Family Nurse Practitioner
  • Goldsboro, NC
  • NPI 1942342993
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1063553931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "986 MANSON AXTELL ROAD",
            "city": "MANSON",
            "state": "NC",
            "postal_code": "275530425",
            "telephone_number": "252-456-2181",
            "fax_number": "252-456-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "986 MANSON AXTELL ROAD",
            "city": "MANSON",
            "state": "NC",
            "postal_code": "275530425",
            "telephone_number": "252-456-2181",
            "fax_number": "252-456-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCE-WARREN COMPREHENSIVE HEALTH PLAN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "WORTH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-456-2004",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "03754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344566B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philip James Hinman, LCSW
• Linda Means, MS
• Orcaxp
• The Davis Home
• The Spencer Home
• Vance-Warren Comprehensive Health Plan, Inc. (HealthCo)
• Karen Eichman Williams, LPC
• Evelean Davis Woodard
• Glenn Elgin Woodlief, D.D.S.

• Pharmacist in Manson, NC
• Providers in Manson, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.