Warsaw RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

04753 Issued in NC

Legal business name

WARSAW RX LLC

Practice address

8406 Richlands Hwy
Richlands, NC 28574

Phone

(910) 324-3164

Fax

(910) 324-1834

NPI assigned

Jan 31, 2007

Organization subpart

Yes

Parent organization

WARSAW RX LLCAs reported in NPPES

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

Authorized official

Name

Kelsey Gelderman

Title

Credentialing

Phone

(910) 324-3164

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 2

• BIG VALUE DISCOUNT DRUG CENTER Doing business as
• Value Rx Pharmacy Doing business as

Tax ID family

Warsaw RX LLC2 organizations share this tax ID, including this one

Part of

Warsaw RX LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Warsaw RX LLC

  • Durable Medical Equipment & Medical Supplies
  • Richlands, NC
  • NPI 1134222029
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ralph Hunter, R.PH.

  • Pharmacist
  • Richlands, NC
  • NPI 1881069292
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719100800000",
    "number": "1619014453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 295",
            "city": "RICHLANDS",
            "state": "NC",
            "postal_code": "285740295",
            "telephone_number": "910-324-3164",
            "fax_number": "910-324-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8406 RICHLANDS HWY",
            "city": "RICHLANDS",
            "state": "NC",
            "postal_code": "28574",
            "telephone_number": "910-324-3164",
            "fax_number": "910-324-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARSAW RX LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WARSAW RX LLC",
        "enumeration_date": "2007-01-31",
        "last_updated": "2024-06-23",
        "certification_date": "2024-06-23",
        "status": "A",
        "authorized_official_last_name": "GELDERMAN",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "910-324-3164"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "04753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0675272",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2068116",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7701290",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BIG VALUE DISCOUNT DRUG CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Value Rx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Tollefsrud, M.A., CCC-SLP
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Warsaw RX LLC
• Charlotte Harvey Weitz, PAC
• Well Care Home Health of Onslow, Inc.
• Allison Westpfahl, LRT, CTRS
• Stephen Cark Williams, MPT
• Casa Woodbridge

• Community/Retail Pharmacy in Richlands, NC
• Providers in Richlands, 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 Jun 23, 2024; 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.