Active NPI
Chocowinity Pharmacy, Inc
- Durable Medical Equipment & Medical Supplies
- Chocowinity, NC
National Provider Identifier
1154441681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2008
- 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
- Walton P Oneal, III, PHARMD
- Title
- President
- Phone
- (252) 946-4000
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7703308 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Chocowinity, NC
- NPI 1750805636
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
- Beyond Measure Community Outreach
- Charytis Way Transportation
- Chocowinity EMS
- Chocowinity Pharmacy Inc (ONeals Drug Store)
- Chocowinity Pharmacy Inc (O'Neals Drug Store)
- Coastal Solutions LLC
- Coastal Solutions LLC
- Comprehensive Anesthesia Services, Inc.
- Anna Mangum Cook, DNP, FNP-BC
- Cypress Coast Care LLC
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.