Active NPI
Roy Dexter Erway
- Pharmacist
- Winston Salem, NC
National Provider Identifier
1275596033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18182
- Practice address
- 4550 Kester Mill Rd
Winston Salem, NC 27103-1247 - Phone
- (336) 760-9664
- NPI assigned
- Apr 11, 2006
- Last updated
- Jul 10, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 047658 | NY | |
| Pharmacist | 183500000X | 0202207454 | VA | |
| Pharmacist | 183500000X | 18182 | NC | Primary |
Addresses
Primary practice location
4550 Kester Mill Rd
Winston Salem, NC 27103-1247
Mailing address
4550 Kester Mill Rd
Winston Salem, NC 27103-1247
Phone (336) 760-9664
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0202207454 | Other | VA | STATE LICENSE NUMBER |
| 047658 | Other | NY | STATE LICENSE NUMBER |
| 18182 | Other | NC | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202207454 | VA | MD | Pharmacist |
| 18182 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1275596033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4550 KESTER MILL RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271031247",
"telephone_number": "336-760-9664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 KESTER MILL RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271031247",
"telephone_number": "336-760-9664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERWAY",
"first_name": "ROY",
"middle_name": "DEXTER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "047658",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202207454",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "18182",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "0202207454",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "047658",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "18182",
"state": "NC"
}
],
"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 Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.