Organization Active NPI

Zebulon Drug Company Inc

Doing business as Oneals Drug Store

  • Community/Retail Pharmacy
  • Zebulon, NC
National Provider Identifier
1255336285
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
04655 Issued in NC
Legal business name
ZEBULON DRUG COMPANY INC
Doing business as
Oneals Drug Store
Practice address
303 N Arendell Ave
Zebulon, NC 27597-2605
Phone
(919) 269-7481
Fax
(919) 269-9998
NPI assigned
Jun 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Walton Prentiss Oneal III, PHARMD
Title
President
Phone
(252) 943-1913

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 04655 NC
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 04655 NC Primary

Addresses

Primary practice location

303 N Arendell Ave
Zebulon, NC 27597-2605

Mailing address

303 N Arendell Ave
Zebulon, NC 27597-2605
Phone (919) 269-7481

Other identifiers 5

IdentifierTypeStateIssuer
3412688OtherNCNCPDP (FORMER NABP)
15191OtherNCNC BOARD OF PHARMACY
04655OtherNCNC BOARD OF PHARMACY
1023702990MedicaidNC
1255336285MedicaidNC

Other names 1

  • ONEALS DRUG STORE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231107004008 NC Part B Supplier - Mass Immunization (Roster Biller Only) 4082061445 Practice locations: Zebulon, NC

National Provider Directory

National Provider Directory
Tax ID family
Adrian Wyatt Adams Drug Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

520 W Gannon Ave
Zebulon, NC 27597
Phone (919) 269-7481

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1255336285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N ARENDELL AVE",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275972605",
            "telephone_number": "919-269-7481",
            "fax_number": "919-269-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N ARENDELL AVE",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275972605",
            "telephone_number": "919-269-7481",
            "fax_number": "919-269-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEBULON DRUG COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "ONEAL",
        "authorized_official_first_name": "WALTON",
        "authorized_official_middle_name": "PRENTISS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-943-1913",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "04655",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "04655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP (FORMER NABP)",
            "identifier": "3412688",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF PHARMACY",
            "identifier": "15191",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF PHARMACY",
            "identifier": "04655",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023702990",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255336285",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ONEALS DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Zebulon, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.