Active NPI
Price Wellness Enterprises Incorporated
- Community/Retail Pharmacy
- Rockwell, NC
National Provider Identifier
1619264124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 11082
- Legal business name
- PRICE WELLNESS ENTERPRISES INCORPORATED
- Practice address
- 610 W Main St
Rockwell, NC 28138-9414 - Phone
- (704) 279-3001
- Fax
- (704) 279-3004
- NPI assigned
- Jul 5, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Price
- Title
- Owner
- Phone
- (980) 875-1968
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 11082 | NC | Primary |
Addresses
Primary practice location
610 W Main St
Rockwell, NC 28138-9414
Mailing address
610 W Main St
Rockwell, NC 28138-9414
Phone (704) 279-3001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3459155 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Village Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Price Wellness Enterprises
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Salisbury, NC
- NPI 1871833095
Locations
610 W Main St
Rockwell, NC 28138
Phone (704) 279-3001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319068800000",
"number": "1619264124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 W MAIN ST",
"city": "ROCKWELL",
"state": "NC",
"postal_code": "281389414",
"telephone_number": "704-279-3001",
"fax_number": "704-279-3004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 W MAIN ST",
"city": "ROCKWELL",
"state": "NC",
"postal_code": "281389414",
"telephone_number": "704-279-3001",
"fax_number": "704-279-3004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRICE WELLNESS ENTERPRISES INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-05",
"last_updated": "2011-10-20",
"status": "A",
"authorized_official_last_name": "PRICE",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "980-875-1968"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NC",
"license": "11082",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "3459155",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Village Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rockwell, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.