Womble Drug Store

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

10413 Issued in NC

Legal business name

WOMBLE DRUG STORE

Practice address

454 Hwy 64 East
Plymouth, NC 27962

Phone

(252) 793-9036

Fax

(252) 793-1006

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Jonathan Lundy

Title

President

Phone

(252) 793-9036

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1205934171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279620099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 HWY 64 EAST",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "27962",
            "telephone_number": "252-793-9036",
            "fax_number": "252-793-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMBLE DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "LUNDY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-793-9036"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "10413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0945014",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3409819",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Washington County Schools
• Washington Regional Medical Center (Washington Co Hospital Ambulance)
• Cedric Lee Wilkins, LCAS-A
• Williamston Hospital Corporation (Inner Banks Family Medicine, a part of, Martin General Hospital)
• Williamston Hospital Corporation
• June Elizabeth Woolard, LCSW
• Shawn Marie Zellmer, RN, MSN, CPNP

• Community/Retail Pharmacy in Plymouth, NC
• Providers in Plymouth, 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 Feb 25, 2015; 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.