NPIMap

Organization Active NPI

Stokes Pharmacy

  • Pharmacist
  • King, NC
National Provider Identifier
1619287653
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21007 Issued in NC
Legal business name
STOKES PHARMACY
Practice address
607B S Main St
King, NC 27021-9016
Phone
(336) 983-3118
Fax
(336) 983-2933
NPI assigned
Oct 8, 2010
Organization subpart
Yes
Parent organization
STOKES PHARMACYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Authorized official

Name
Dr. Corey Allen Fulk, PHARMDNPI 1669756615
Title
Pharmacist
Phone
(336) 983-3118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 21007 NC Primary

Addresses

Primary practice location

607B S Main St
King, NC 27021-9016

Mailing address

PO Box 446
King, NC 27021-0446
Phone (336) 983-3118

Other identifiers 1

IdentifierTypeStateIssuer
0855049MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Stokes Pharmacy Inc6 organizations share this tax ID, including this one
Part of
Stokes Pharmacy Inc

Other organizations with this tax ID 5

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

Locations

607B S Main St
King, NC 27021
Phone (336) 983-0433

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1619287653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 446",
            "city": "KING",
            "state": "NC",
            "postal_code": "270210446",
            "telephone_number": "336-983-3118",
            "fax_number": "336-983-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607B S MAIN ST",
            "city": "KING",
            "state": "NC",
            "postal_code": "270219016",
            "telephone_number": "336-983-3118",
            "fax_number": "336-983-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOKES PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STOKES PHARMACY",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "FULK",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "336-983-3118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "21007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0855049",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in King, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.