Walnut Cove Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

5086 Issued in NC

Legal business name

WALNUT COVE PHARMACY INC

Doing business as

Family Pharmacy

Practice address

317 N Main St
Walnut Cove, NC 27052-9200

Phone

(336) 591-7171

Fax

(336) 591-7936

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Ronald Watts, RPH

Title

Owner

Phone

(336) 591-7171

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• FAMILY PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Tax ID family

Family Pharmacy2 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.

• Walnut Cove Pharmacy, Inc

  • Pharmacist
  • Walnut Cove, NC
  • NPI 1861944563
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholas Bradford Watts, PHARMD

  • Pharmacist
  • Walnut Cove, NC
  • NPI 1659785087
  NPD

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1487755807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 537",
            "city": "WALNUT COVE",
            "state": "NC",
            "postal_code": "270520537",
            "telephone_number": "336-591-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N MAIN ST",
            "city": "WALNUT COVE",
            "state": "NC",
            "postal_code": "270529200",
            "telephone_number": "336-591-7171",
            "fax_number": "336-591-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT COVE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-591-7171",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "5086",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3416321",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0855148",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Q492110001",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Faye Staten, LCMHCA
• Leigh Beth Woodman Tippit, PHYSICAL THERAPIST
• Patricia Anne Townsend, LCSWA
• Robert F Turner III, PHARMD
• Walnut Cove Healthcare LLC (Walnut Cove Health and Rehabilitation Center)
• Walnut Cove Pharmacy, Inc
• Walnut Ridge Assistd Living
• Nicholas Bradford Watts, PHARMD
• Wellspring Family Medicine, PA
• Brittany Wingate

• Pharmacy in Walnut Cove, NC
• Providers in Walnut Cove, NC by specialty
• Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.