White Star Discount Pharmacy of Troy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

04237 Issued in NC

Legal business name

WHITE STAR DISCOUNT PHARMACY OF TROY INC

Doing business as

White Star Discount Pharmacy

Practice address

436 Albemarle Rd
Troy, NC 27371-3102

Phone

(910) 572-2129

Fax

(910) 572-9606

NPI assigned

Feb 7, 2013

Last updated

Feb 7, 2013By 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

Karyen Brantley, RPH

Title

President

Phone

(910) 572-4913

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• White Star Discount Pharmacy Doing business as

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1215276423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 ALBEMARLE RD",
            "city": "TROY",
            "state": "NC",
            "postal_code": "273713102",
            "telephone_number": "910-572-2129",
            "fax_number": "910-572-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 ALBEMARLE RD",
            "city": "TROY",
            "state": "NC",
            "postal_code": "273713102",
            "telephone_number": "910-572-2129",
            "fax_number": "910-572-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE STAR DISCOUNT PHARMACY OF TROY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "BRANTLEY",
        "authorized_official_first_name": "KARYEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-572-4913",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "04237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3421170",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0625095",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Star Discount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Uniquelycreatedro
• Lisa P Vang
• Touber Vang, M.D.
• Ralph Lane Wall Jr., MD
• Beverly Jane Weary, RN
• Deborah Whitling, MSW, PLCSW
• Jonathan Wilkins, LCMHC
• Lauren Williams, M.ED, CCC-SLP
• Terry Van Wood, DMD
• John Montgomery Woodyear,Jr, MD

• Community/Retail Pharmacy in Troy, NC
• Providers in Troy, 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 7, 2013; 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.