NPIMap

Organization Active NPI

Medipack Pharmacy LLC

  • Long Term Care Pharmacy
  • Winston Salem, NC
National Provider Identifier
1265459614
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
08432 Issued in NC
Legal business name
MEDIPACK PHARMACY LLC
Practice address
3917 Westpoint Blvd
Suite a
Winston Salem, NC 27103-6723
Phone
(336) 773-1013
NPI assigned
Jul 15, 2006
Last updated
Jan 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Authorized official

Name
Richard Jones Whitsell, RPH, MBA
Title
Senior Vice President
Phone
(336) 773-1013

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X
Long Term Care Pharmacy 3336L0003X 08432 NC Primary

Addresses

Primary practice location

3917 Westpoint Blvd
Suite a
Winston Salem, NC 27103-6723

Mailing address

3917 Westpoint Blvd
Suite a
Winston Salem, NC 27103-6723
Phone (336) 773-1013

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1265459614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 WESTPOINT BLVD",
            "address_2": "SUITE A",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036723",
            "telephone_number": "336-773-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 WESTPOINT BLVD",
            "address_2": "SUITE A",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036723",
            "telephone_number": "336-773-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIPACK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "WHITSELL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JONES",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "336-773-1013",
        "authorized_official_credential": "RPH, MBA"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NC",
            "license": "08432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.