NPIMap

Organization Active NPI

Double D Enterprises of Wilkes Inc

Doing business as Wilkes Family Pharmacy

  • Community/Retail Pharmacy
  • Wilkesboro, NC
National Provider Identifier
1568528446
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
08875 Issued in NC
Legal business name
DOUBLE D ENTERPRISES OF WILKES INC
Doing business as
Wilkes Family Pharmacy
Practice address
1300 Westwood LN Ste a
Wilkesboro, NC 28697-2638
Phone
(336) 667-9347
Fax
(336) 667-9350
NPI assigned
Dec 28, 2006
Last updated
Dec 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2016

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

Authorized official

Name
Donald Manus, RPHNPI 1740566892
Title
Pres and Owner
Phone
(336) 667-9347

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 08875 NC Primary

Addresses

Primary practice location

1300 Westwood LN Ste a
Wilkesboro, NC 28697-2638

Mailing address

1300 Westwood LN Ste a
Wilkesboro, NC 28697-2638

Other identifiers 2

IdentifierTypeStateIssuer
0855188MedicaidNC
2067476OtherPK

Other names 1

  • WILKES FAMILY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481846400000",
    "number": "1568528446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 WESTWOOD LN STE A",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 WESTWOOD LN STE A",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972638",
            "telephone_number": "336-667-9347",
            "fax_number": "336-667-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUBLE D ENTERPRISES OF WILKES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2016-12-16",
        "status": "A",
        "authorized_official_last_name": "MANUS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PRES AND OWNER",
        "authorized_official_telephone_number": "336-667-9347",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "08875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0855188",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2067476",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WILKES FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilkesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.