Warsaw Drug Co Inc

Organization Active NPI Community/Retail Pharmacy · Warsaw, NC

NPI 1639214232 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1639214232
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
02416 (NC)
Legal business name
WARSAW DRUG CO INC
Practice address
204 N Front St
Warsaw, NC 28398-1833
Phone
(910) 293-4521
Fax
(910) 293-4521
NPI assigned
Feb 21, 2007
Organization subpart
No

Authorized official

Name
William Weatherly, RPH
Title
President
Phone
(910) 293-4521

National Provider Directory

Locations

204 N Front St
Warsaw, NC 28398
Phone (910) 293-4521

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 02416 NC Yes

Addresses

Primary practice location

204 N Front St
Warsaw, NC 28398-1833

Mailing address

204 N Front St
Warsaw, NC 28398-1833
Phone (910) 293-4521

Other identifiers

IdentifierTypeStateIssuer
0315051MedicaidNC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639214232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N FRONT ST",
            "city": "WARSAW",
            "state": "NC",
            "postal_code": "283981833",
            "telephone_number": "910-293-4521",
            "fax_number": "910-293-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N FRONT ST",
            "city": "WARSAW",
            "state": "NC",
            "postal_code": "283981833",
            "telephone_number": "910-293-4521",
            "fax_number": "910-293-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARSAW DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEATHERLY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-293-4521",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "02416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0315051",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, NC

All providers in Warsaw, NC · Community/Retail Pharmacy in North Carolina

Sources for this page

Verify at the official NPI Registry.