Individual provider Active NPI

Olivia Nicole Price

  • Pharmacist
  • Goldsboro, NC
National Provider Identifier
1487179180
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
27284 Issued in NC
Practice address
2606 E Ash St
Goldsboro, NC 27534-4515
Phone
(919) 751-5548
Fax
(919) 751-8194
NPI assigned
Aug 3, 2017
Last updated
Dec 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 27284 NC Primary

Addresses

Primary practice location

2606 E Ash St
Goldsboro, NC 27534-4515

Mailing address

2606 E Ash St
Goldsboro, NC 27534-4515
Phone (919) 751-5548

Other identifiers 2

IdentifierTypeStateIssuer
1487179180OtherNCNPI
1487179180MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rxm.07622@store.walgreens.com

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

State licenses

LicenseStateTypeSpecialty
27284NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Jan 1, 2023 Accepting new patients
Walgreen Co PastSince Jan 1, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rxm.07622@store.walgreens.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1487179180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 E ASH ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344515",
            "telephone_number": "919-751-5548",
            "fax_number": "919-751-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 E ASH ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344515",
            "telephone_number": "919-751-5548",
            "fax_number": "919-751-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "OLIVIA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-03",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "27284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1487179180",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487179180",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rxm.07622@store.walgreens.com",
            "affiliation": "N",
            "address_1": "2606 E Ash St",
            "city": "Goldsboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275344515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.