Active NPI
William Carroll Rose Jr., RPH
- Pharmacist
- Wilson, NC
National Provider Identifier
1366988321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 08924
- Practice address
- 303 Nash St W
Wilson, NC 27893-3834 - Phone
- (252) 237-1188
- Fax
- (252) 206-1990
- NPI assigned
- Jan 16, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 08924 | NC | Primary |
Addresses
Primary practice location
303 Nash St W
Wilson, NC 27893-3834
Mailing address
303 Nash St W
Wilson, NC 27893-3834
Phone (252) 237-1188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08924 | Other | NC | NC BOARD OF PHARMACY |
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08924 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484524800000",
"number": "1366988321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 NASH ST W",
"city": "WILSON",
"state": "NC",
"postal_code": "278933834",
"telephone_number": "252-237-1188",
"fax_number": "252-206-1990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 NASH ST W",
"city": "WILSON",
"state": "NC",
"postal_code": "278933834",
"telephone_number": "252-237-1188",
"fax_number": "252-206-1990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "WILLIAM",
"middle_name": "CARROLL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-16",
"last_updated": "2017-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "08924",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC BOARD OF PHARMACY",
"identifier": "08924",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.