Organization Active NPI

Chocowinity Pharmacy, Inc

  • Durable Medical Equipment & Medical Supplies
  • Chocowinity, NC
National Provider Identifier
1154441681
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CHOCOWINITY PHARMACY, INC
Practice address
633 NC Highway 33 E
Chocowinity, NC 27817-9005
Phone
(252) 946-4000
Fax
(252) 946-6890
NPI assigned
Mar 29, 2007
Last updated
Jul 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Walton P Oneal, III, PHARMD
Title
President
Phone
(252) 946-4000

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Customized Equipment (DME) 332BC3200X NU
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NU
Oxygen Equipment & Supplies (DME) 332BX2000X NU

Addresses

Primary practice location

633 NC Highway 33 E
Chocowinity, NC 27817-9005

Mailing address

633 NC Highway 33 E
PO Box 5
Chocowinity, NC 27817-9005
Phone (252) 946-4000

Other identifiers 1

IdentifierTypeStateIssuer
7703308MedicaidNC

National Provider Directory

National Provider Directory

Locations

633 NC Highway 33 E
Chocowinity, NC 27817
Phone (252) 946-4000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1154441681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 NC HIGHWAY 33 E",
            "address_2": "PO BOX 5",
            "city": "CHOCOWINITY",
            "state": "NC",
            "postal_code": "278179005",
            "telephone_number": "252-946-4000",
            "fax_number": "252-946-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 NC HIGHWAY 33 E",
            "city": "CHOCOWINITY",
            "state": "NC",
            "postal_code": "278179005",
            "telephone_number": "252-946-4000",
            "fax_number": "252-946-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOCOWINITY PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "ONEAL, III",
        "authorized_official_first_name": "WALTON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-946-4000",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703308",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chocowinity, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.