William Randolph Mize Jr., RPH

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

08455 Issued in NC

Practice address

3712 Lawndale Dr Ste G
Greensboro, NC 27455-3066

Phone

(336) 790-7343

NPI assigned

Mar 2, 2021

Last updated

Mar 2, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

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.

• Friendly Pharmacy

  • Long Term Care Pharmacy
  • Greensboro, NC
  • NPI 1205432465
  NPD
• Friendly Pharmacy, Inc

  dba Friendly Pharmacy

  • Community/Retail Pharmacy
  • Greensboro, NC
  • NPI 1346679412
  NPD (past)

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1518552579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 LAWNDALE DR STE G",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274553066",
            "telephone_number": "336-790-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 LAWNDALE DR STE G",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274553066",
            "telephone_number": "336-790-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZE",
        "first_name": "WILLIAM",
        "middle_name": "RANDOLPH",
        "name_suffix": "Jr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "08455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Torkwase' K Mitchell
• Robert Andrew Mitchum, PHD
• Mario Mitkov, MD
• Allison Mize
• Jennifer K Mize, M.S.,CCC-SLP
• Renee Mizerek, RBT
• Mizpah Healthcare, Inc. (Arbor Care Assisted Living)
• MJ Holdings of Greensboro LLC
• MJ Holdings of Greensboro, LLC (Brown-Gardiner Drug Co)
• MMH Transportation LLC

• Community/Retail Pharmacy in Greensboro, NC
• Providers in Greensboro, 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 Mar 2, 2021; 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.