Active NPI
Zebulon Drug Company Inc
Doing business as Oneals Drug Store
- Community/Retail Pharmacy
- Zebulon, NC
National Provider Identifier
1255336285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 04655
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3412688 | Other | NC | NCPDP (FORMER NABP) |
| 15191 | Other | NC | NC BOARD OF PHARMACY |
| 04655 | Other | NC | NC BOARD OF PHARMACY |
| 1023702990 | Medicaid | NC | |
| 1255336285 | Medicaid | NC |
Other names 1
- ONEALS DRUG STORE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
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
- Steven Willner, PT
- Heber Wilkinson Windley III, DDS, MS, PA
- Yarborough O'Neal Villa
- Asma Zaben
- Zebulon Drug Company Inc (ONeals Drug Store)
- Zebulon Drug Company Inc (ONeals Drug Store)
- Zebulon Healthcare Center PA
- Zebulon Opco, LLC (Coventry House of Zebulon)
- Zebulon Rehabilitation Center, LLC (Zebulon Rehabilitation Center)
- Zhi,LLC (Zebulon House)
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.