Warrens Drug Store Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

13510 Issued in NC

Legal business name

WARRENS DRUG STORE INC

Practice address

943 S Fifth St
Mebane, NC 27302-3240

Phone

(919) 563-3102

Fax

(919) 563-0768

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Douglas Joyce, RPHNPI 1154782258

Title

Owner Pharmacist

Phone

(919) 563-3102

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Warrens Drug Store Inc

  dba Warrens Drug South

  • Community/Retail Pharmacy
  • Mebane, NC
  • NPI 1932385374

  O20100930077455

  Same enrollment

Tax ID family

Warrens Drug Store Inc2 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.

• Warrens Drug Store Inc

  • Long Term Care Pharmacy
  • Mebane, NC
  • NPI 1578340824
  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, and the practitioner matching its NPPES authorized official.

• Stephen Joyce

  • Pharmacist
  • Mebane, NC
  • NPI 1154782258
  NPD (past) Authorized official

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1558438333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 S FIFTH ST",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273023240",
            "telephone_number": "919-563-3102",
            "fax_number": "919-563-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 S FIFTH ST",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273023240",
            "telephone_number": "919-563-3102",
            "fax_number": "919-563-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARRENS DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "JOYCE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "919-563-3102",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "13510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703073",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015552",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Von Der Lehr, LCSW, CCM
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• Denise Marie Walz, RN
• Warrens Drug Store Inc
• Warrens Drug Store Inc (Warrens Drug South)
• Madison Waverka
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• Community/Retail Pharmacy in Mebane, NC
• Providers in Mebane, 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 Jul 23, 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.