RX Medeq LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

09398 Issued in NC

Legal business name

RX MEDEQ LLC

Practice address

5642 NC Hwy 41 South
Wallace, NC 28458

Phone

(910) 285-6114

Fax

(910) 552-2078

NPI assigned

Sep 20, 2006

Last updated

May 22, 2008By 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

Italo Zanoletti, PHCY TECH

Title

Owner

Phone

(910) 285-6114

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1518064906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5642 NC HWY 41 SOUTH",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "28458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5642 NC HWY 41 SOUTH",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "28458",
            "telephone_number": "910-285-6114",
            "fax_number": "910-552-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX MEDEQ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "ZANOLETTI",
        "authorized_official_first_name": "ITALO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-285-6114",
        "authorized_official_credential": "PHCY TECH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "09398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3440017",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0315467",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Michael Ricci, M.D.
• Donna Roberts Rice, RPH
• J Daniel Robinson III, OD
• Carrie Kyper Royer, PA-C
• Victor Jones Russell, LCAS, CSAC
• Scottie Drugs of Wallace Inc (Scottie Drug Stores)
• Haley Shand
• Axon Darren Sholar, DDS
• Claudia Compton Smith, N.P.
• SSC Wallace Operating Company LLC (Brian Center Health & Rehabilitation - Wallace)

• Community/Retail Pharmacy in Wallace, NC
• Providers in Wallace, 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 May 22, 2008; 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.