Organization Active NPI

Windsor Chemists ,Inc

Doing business as Pittman's Pharmacy

  • Pharmacy
  • Windsor, NC
National Provider Identifier
1376196063
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
WINDSOR CHEMISTS ,INC
Doing business as
Pittman's Pharmacy
Practice address
305 W Granville St
Windsor, NC 27983-1815
Phone
(252) 794-3431
Fax
(252) 794-2896
NPI assigned
Jul 22, 2019
Last updated
May 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Authorized official

Name
Raghunath DoppalapudiNPI 1578881686
Title
Owner
Phone
(252) 794-3431

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

305 W Granville St
Windsor, NC 27983-1815

Mailing address

305 W Granville St
Windsor, NC 27983-1815
Phone (252) 794-3431

Other identifiers 5

IdentifierTypeStateIssuer
7767820001OtherNCMEDICARE (855S)
14175OtherNCBOARD OF PHARMACY
Q651120001OtherNCMEDICARE (855B)
3471860OtherNCNCPDP
1376196063MedicaidNC

Other names 1

  • PITTMAN'S PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20191008000178 NC Part B Supplier - Mass Immunization (Roster Biller Only) 6709117609 Practice locations: Windsor, NC
O20191025001100 NC DME Supplier - Pharmacy 6709117609 Practice locations: Windsor, NC
O20201124000662 NC Part B Supplier - Pharmacy 6709117609 Practice locations: Windsor, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Windsor Chemists, Inc.305 W Granville St, Windsor, NC 27983-1815(252) 794-3431 Epoetin Accepts assignmentParticipating since Nov 17, 2020

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1376196063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W GRANVILLE ST",
            "city": "WINDSOR",
            "state": "NC",
            "postal_code": "279831815",
            "telephone_number": "252-794-3431",
            "fax_number": "252-794-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W GRANVILLE ST",
            "city": "WINDSOR",
            "state": "NC",
            "postal_code": "279831815",
            "telephone_number": "252-794-3431",
            "fax_number": "252-794-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR CHEMISTS ,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "DOPPALAPUDI",
        "authorized_official_first_name": "RAGHUNATH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-794-3431"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE (855S)",
            "identifier": "7767820001",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "14175",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE (855B)",
            "identifier": "Q651120001",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3471860",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376196063",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PITTMAN'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PITTMAN'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windsor, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.