Creedmoor Drug Company

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

04337 Issued in NC

Legal business name

CREEDMOOR DRUG COMPANY

Practice address

108 N Main St
Creedmoor, NC 27522

Phone

(919) 528-0041

Fax

(919) 528-3185

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

Robert Wheeler, RPHNPI 1740621473

Title

Pres/Owner

Phone

(919) 528-0041

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• CREEDMOOR DRUG COMPANY Doing business as

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Vernon Wheeler, RPH

  • Pharmacist
  • Creedmoor, NC
  • NPI 1740621473
  NPD Authorized official
• Ryan Wheeler

  • Pharmacist
  • New Bern, NC
  • NPI 1255885133
  NPD

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1235237108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 523",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "275220523",
            "telephone_number": "919-528-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N MAIN ST",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "27522",
            "telephone_number": "919-528-0041",
            "fax_number": "919-528-3185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEDMOOR DRUG COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRES/OWNER",
        "authorized_official_telephone_number": "919-528-0041",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "04337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2065737",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0395186",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1232740001",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CREEDMOOR DRUG COMPANY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Commendable Credence LLC
• Community Resource Solutions, LLC
• Cornelius F. Cathcart, Pediatrics, PA
• Cortney Couitcher, OT
• Kaitlyn Ann Coyle
• Creedmoor Wellness Center, PLLC
• Kimberly Ann Cross, LCSW
• Jane Carolyn Crowder, LCSW, LCAS
• Heather Thompson Currin, LPA, LCAS, CCS
• D. H. Lee DMD PA Creedmoor

• Community/Retail Pharmacy in Creedmoor, NC
• Providers in Creedmoor, 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 Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.