NPIMap

Organization Active NPI

Go Pharmacy Inc

Doing business as Go RX

  • Community/Retail Pharmacy
  • Wilmington, NC
National Provider Identifier
1316180193
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
11203 Issued in NC
Legal business name
GO PHARMACY INC
Doing business as
Go RX
Practice address
1911 S 17TH St Ste 100
Wilmington, NC 28401-6663
Phone
(910) 646-3112
Fax
(910) 646-1126
NPI assigned
Apr 9, 2009
Last updated
Aug 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Authorized official

Name
Brenton Byrd
Title
Ceo
Phone
(910) 398-5467

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 11203 NC Primary
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

1911 S 17TH St Ste 100
Wilmington, NC 28401-6663

Mailing address

PO Box 479
Lake Waccamaw, NC 28450-0479
Phone (910) 646-3112

Other identifiers 2

IdentifierTypeStateIssuer
2133087OtherPK
0245902MedicaidNC

Other names 1

  • GO RX Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Go Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1911 S 17th St
Ste 100
Wilmington, NC 28401
Phone (910) 313-2111

NPI Registry JSON

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1316180193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 479",
            "city": "LAKE WACCAMAW",
            "state": "NC",
            "postal_code": "284500479",
            "telephone_number": "910-646-3112",
            "fax_number": "910-646-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 S 17TH ST STE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016663",
            "telephone_number": "910-646-3112",
            "fax_number": "910-646-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GO PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "BRENTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-398-5467"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "11203",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133087",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0245902",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GO RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.