Pioneer Apco LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PIONEER APCO LLC

Doing business as

UpStream Pharmacy Eden

Practice address

723 S Van Buren Rd Ste a
Eden, NC 27288-5321

Phone

(336) 285-7985

Fax

(336) 617-0781

NPI assigned

Jul 28, 2022

Organization subpart

Yes

Parent organization

UPSTREAM CARE COMPANYAs reported in NPPES

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

Authorized official

Name

John Richard White Jr., PHARMD

Title

Director of Pharmacy

Phone

(336) 509-5751

Specialties & licenses 2

Addresses

Other names 1

• UpStream Pharmacy Eden Doing business as

Tax ID family

Pioneer Apco LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pioneer Apco LLC

  • Pharmacy
  • Greensboro, NC
  • NPI 1942981808
  NPD tax ID

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1407582729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REVOLUTION MILL DR STE 10",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055067",
            "telephone_number": "336-285-7985",
            "fax_number": "336-617-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 S VAN BUREN RD STE A",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885321",
            "telephone_number": "336-285-7985",
            "fax_number": "336-617-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER APCO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UPSTREAM CARE COMPANY",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "336-509-5751",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UpStream Pharmacy Eden",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Zainab S Qayumi, M.D

• Community/Retail Pharmacy in Eden, NC
• Providers in Eden, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.