NPIMap

Organization Active NPI

Wilson Family Pharmacies Inc

Doing business as Graham Drug Co

  • Pharmacy
  • Wallace, NC
National Provider Identifier
1598875379
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
04948 Issued in NC
Legal business name
WILSON FAMILY PHARMACIES INC
Doing business as
Graham Drug Co
Practice address
116 East Main St
Wallace, NC 28466
Phone
(910) 285-8737
Fax
(910) 285-8550
NPI assigned
Aug 30, 2006
Last updated
Apr 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Authorized official

Name
Mr. Kevin M Wilson, RPHNPI 1093956260
Title
Owner
Phone
(910) 285-8737

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 04948 NC Primary

Addresses

Primary practice location

116 East Main St
Wallace, NC 28466

Mailing address

116 East Main St
Wallace, NC 28466
Phone (910) 285-8737

Other identifiers 2

IdentifierTypeStateIssuer
0315218MedicaidNC
7703114OtherNCMEDICAID MCD

Other names 1

  • Graham Drug Co Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1598875379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 EAST MAIN ST",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "28466",
            "telephone_number": "910-285-8737",
            "fax_number": "910-285-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 EAST MAIN ST",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "28466",
            "telephone_number": "910-285-8737",
            "fax_number": "910-285-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON FAMILY PHARMACIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-285-8737",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "04948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0315218",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID MCD",
            "identifier": "7703114",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Graham Drug Co",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wallace, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.