Realo Discount Drug Stores of Pink Hill, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

10271 Issued in NC

Legal business name

REALO DISCOUNT DRUG STORES OF PINK HILL, INC.

Doing business as

Realo Discount Drug Stores of Pink Hill, Inc.

Practice address

107 W Broadway St
Pink Hill, NC 28572-7998

Phone

(252) 568-3161

Fax

(252) 568-2339

NPI assigned

Sep 21, 2006

Last updated

Jun 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Wiggins, BS, PHARMACYNPI 1598785610

Title

Pharmacist Manager

Phone

(252) 568-3161

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Realo Discount Drug Stores of Pink Hill, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

Tax ID family

Realo Discount Drug Stores of Pink Hill Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Realo Discount Drug Stores of Pink Hill, Inc.

  • Community/Retail Pharmacy
  • Pink Hill, NC
  • NPI 1164672093
  NPD tax ID

Locations

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.

• Michael Gregg Wiggins Jr., R.PH.

  • Pharmacist
  • Pink Hill, NC
  • NPI 1598785610
  NPD Authorized official

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1184722068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "PINK HILL",
            "state": "NC",
            "postal_code": "285720609",
            "telephone_number": "252-568-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W BROADWAY ST",
            "city": "PINK HILL",
            "state": "NC",
            "postal_code": "285727998",
            "telephone_number": "252-568-3161",
            "fax_number": "252-568-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REALO DISCOUNT DRUG STORES OF PINK HILL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACIST MANAGER",
        "authorized_official_telephone_number": "252-568-3161",
        "authorized_official_credential": "BS, PHARMACY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "10271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0545673",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2119898",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Realo Discount Drug Stores of Pink Hill, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Trachte Murphy, DC, DICCP
• North Carolina Recovery Network
• Pink Hill Chiropractic, PA
• Pink Hill Pharmacy Inc
• Realo Discount Drug Stores of Pink Hill, Inc.
• Ricetta RX North Carolina LLC (Southern Pharmacy Services)
• Ricetta RX North Carolina, LLC (Southern Pharmacy Services)
• Chrystal T Rooks, D.D.S.
• Michaela Russ, RN, IBCLC
• Southerm Medical and Equipment Sales, L.P.

• Community/Retail Pharmacy in Pink Hill, NC
• Providers in Pink Hill, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; 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.

Verify at the official NPI Registry.