Active NPI
WH Pharmacy 1, LLC
- Durable Medical Equipment & Medical Supplies
- Tarboro, NC
National Provider Identifier
1295385227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- WH PHARMACY 1, LLC
- Practice address
- 1507 N Main St
Tarboro, NC 27886-2519 - Phone
- (252) 823-7030
- NPI assigned
- Sep 11, 2019
- 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
- Louis Vivian Mann
- Title
- VP Operations
- Phone
- (252) 537-7010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1507 N Main St
Tarboro, NC 27886-2519
Mailing address
107 Smith Church Rd
Roanoke Rapids, NC 27870-4911
Phone (252) 537-7010
Other names 1
- Drugco Discount Pharmacy - Tarboro
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191213001633 | NC | DME Supplier - Pharmacy | 8628306107 | Practice locations: Tarboro, NC |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- WH Pharmacy 1 LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Tarboro, NC
- NPI 1710452529
Locations
107 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 537-7010
1507 N Main St
Tarboro, NC 27886
Phone (252) 823-7030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568160000000",
"number": "1295385227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 SMITH CHURCH RD",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "278704911",
"telephone_number": "252-537-7010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 N MAIN ST",
"city": "TARBORO",
"state": "NC",
"postal_code": "278862519",
"telephone_number": "252-823-7030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WH PHARMACY 1, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-11",
"last_updated": "2019-09-11",
"status": "A",
"authorized_official_last_name": "MANN",
"authorized_official_first_name": "LOUIS",
"authorized_official_middle_name": "VIVIAN",
"authorized_official_title_or_position": "VP OPERATIONS",
"authorized_official_telephone_number": "252-537-7010"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Drugco Discount Pharmacy - Tarboro",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tarboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.