Waccamaw Compounding Pharmacy

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

08468 Issued in NC

Legal business name

WACCAMAW COMPOUNDING PHARMACY

Practice address

700 Jefferson St
Whiteville, NC 28472-3706

Phone

(910) 640-1700

Fax

(910) 640-1918

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Linda Spivey Shelburne, RPHNPI 1093983181

Title

Owner

Phone

(910) 640-1700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linda S Shelburne, RPH

  • Pharmacist
  • Whiteville, NC
  • NPI 1093983181
  NPD (past) Authorized official

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1316069941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 JEFFERSON ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723706",
            "telephone_number": "910-640-1700",
            "fax_number": "910-640-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 JEFFERSON ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723706",
            "telephone_number": "910-640-1700",
            "fax_number": "910-640-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WACCAMAW COMPOUNDING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SHELBURNE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "SPIVEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-640-1700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NC",
            "license": "08468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3441879",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Precious Uzoma-Opara, FNP-C
• Angel Vazquez, MD
• Veronica Crawley, Ma, LPC, NCC, PLLC
• W.Sidney Gibson, DDS, PA
• Waccamaw Associates (Waccamaw Pyschological Associates)
• Waccamaw Primary Care Inc
• Waccamaw Ultrasound & Diagnostics, Inc.
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1268)
• Wal-Mart Stores East, LP (Vision Center 30-1268)
• Richard M Waldman, MD

• Compounding Pharmacy in Whiteville, NC
• Providers in Whiteville, NC by specialty
• Compounding Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.