PWP Medical Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

08198 Issued in NC

Legal business name

PWP MEDICAL INC

Doing business as

Bethel Pharmacy
PWP MEDICAL INC, dba BETHEL PHARMACY

Practice address

7433 Main St
Bethel, NC 27812

Phone

(252) 825-7271

Fax

(252) 825-2976

NPI assigned

Feb 20, 2007

Last updated

Nov 16, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dwayne Preast, RPHNPI 1912252982

Title

President

Phone

(252) 825-6331

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 2

• BETHEL PHARMACY Doing business as
• PWP MEDICAL INC, dba BETHEL PHARMACY Doing business as

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.

• Dwayne Preast

  • Pharmacist
  • Bethel, NC
  • NPI 1912252982
  NPD Authorized official

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573862400000",
    "number": "1437294329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "BETHEL",
            "state": "NC",
            "postal_code": "278120428",
            "telephone_number": "252-825-7271",
            "fax_number": "252-825-2976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7433 MAIN ST",
            "city": "BETHEL",
            "state": "NC",
            "postal_code": "27812",
            "telephone_number": "252-825-7271",
            "fax_number": "252-825-2976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PWP MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2019-11-16",
        "status": "A",
        "authorized_official_last_name": "PREAST",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-825-6331",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "08198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2065186",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0745845",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BETHEL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PWP MEDICAL INC, dba BETHEL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Bethel, NC
• Providers in Bethel, 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 Nov 16, 2019; 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.