Winter Park Discount Drug Nilkanth Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WINTER PARK DISCOUNT DRUG NILKANTH INC.

Practice address

5220 Wrightsville Ave
Wilmington, NC 28403-7056

Phone

(910) 791-2346

Fax

(910) 791-6885

NPI assigned

Apr 14, 2006

Organization subpart

No

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

Authorized official

Name

Urmil Shah

Title

President

Phone

(848) 667-3791

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 2

• WINTER PARK DRUG STORE INC Doing business as
• winter park discount drugs Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1477517589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 WRIGHTSVILLE AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284037056",
            "telephone_number": "910-791-2346",
            "fax_number": "910-791-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 WRIGHTSVILLE AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284037056",
            "telephone_number": "910-791-2346",
            "fax_number": "910-791-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTER PARK DISCOUNT DRUG NILKANTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "URMIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "848-667-3791"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720605553",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WINTER PARK DRUG STORE INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WINTER PARK DRUG STORE INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "winter park discount drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy Merrill Winslow, MD
• Charles Mitchell Winstead, PTA
• Khristine Marie Winstead, LCMHCA, LCASA
• Eleanor Winston
• Winter Park Discount Drug Nilkanth Inc.
• Winter Park Discount Drug Nilkanth Inc.
• De Benjamin Winter III, M.D.
• Jonathan Winter, MD
• Ryan Winter
• Megan Broadwell Winters, PMHNP-BC

• Community/Retail Pharmacy in Wilmington, NC
• Providers in Wilmington, 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 Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.