Active NPI
Oneals Drug Store Inc
- Durable Medical Equipment & Medical Supplies
- Belhaven, NC
National Provider Identifier
1285754564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 000054
- Legal business name
- ONEALS DRUG STORE INC
- Practice address
- 292 E Main St
Belhaven, NC 27810-1414 - Phone
- (252) 943-2643
- NPI assigned
- Mar 30, 2007
- Last updated
- May 16, 2011
- 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 Oneal III, PHARMD
- Title
- President
- Phone
- (252) 943-2643
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 000054 | NC | Primary |
| Customized Equipment (DME) | 332BC3200X | 000054 | NC | |
| Nursing Facility Supplies (DME) | 332BN1400X | 000054 | NC | |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 000054 | NC | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 000054 | NC |
Addresses
Primary practice location
292 E Main St
Belhaven, NC 27810-1414
Mailing address
292 E Main St
Belhaven, NC 27810-1414
Phone (252) 943-2643
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7700129 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930076909 | NC | DME Supplier - Pharmacy | 5496800278 |
1 other NPI on this enrollment Practice locations: Belhaven, NC |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Oneals Drug Store Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacist
- Belhaven, NC
- NPI 1497196299
-
- Long Term Care Pharmacy
- Belhaven, NC
- NPI 1841117793
Locations
292 E Main St
Belhaven, NC 27810
Phone (252) 943-2643
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Pharmacist
- Belhaven, NC
- NPI 1750401386
-
- Pharmacist
- Belhaven, NC
- NPI 1174758734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305504000000",
"number": "1285754564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "292 E MAIN ST",
"city": "BELHAVEN",
"state": "NC",
"postal_code": "278101414",
"telephone_number": "252-943-2643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "292 E MAIN ST",
"city": "BELHAVEN",
"state": "NC",
"postal_code": "278101414",
"telephone_number": "252-943-2643"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONEALS DRUG STORE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-30",
"last_updated": "2011-05-16",
"status": "A",
"authorized_official_last_name": "ONEAL",
"authorized_official_first_name": "WALTON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "252-943-2643",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NC",
"license": "000054",
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "NC",
"license": "000054",
"primary": false
},
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": "NC",
"license": "000054",
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "NC",
"license": "000054",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "NC",
"license": "000054",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7700129",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Belhaven, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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.