Organization Active NPI

Price Wellness Enterprises Incorporated

  • Community/Retail Pharmacy
  • Rockwell, NC
National Provider Identifier
1619264124
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
11082 Issued in NC
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

Updated by the provider on Oct 20, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3459155OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Village Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Price Wellness Enterprises2 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.

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.

Verify at the official NPI Registry.