Organization Active NPI

W C Rose Drug Store Inc

Doing business as Thomas Drug Store

  • Pharmacy
  • Wilson, NC
National Provider Identifier
1659516425
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
04464 Issued in NC
Legal business name
W C ROSE DRUG STORE INC
Doing business as
Thomas Drug Store
Practice address
309-B Nash St W
Wilson, NC 27893
Phone
(252) 237-1188
Fax
(252) 206-1990
NPI assigned
Dec 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2018

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

Authorized official

Name
Mrs. Karen H Rose, RN, BSN, C.PED
Title
Billing Manager
Phone
(252) 237-1188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 04464 NC Primary

Addresses

Primary practice location

309-B Nash St W
Wilson, NC 27893

Mailing address

309-B Nash St W
Wilson, NC 27893
Phone (252) 237-1188

Other identifiers 3

IdentifierTypeStateIssuer
047V4OtherNCBCBSNC - IMMUNIZATION
0985317MedicaidNC
3401697OtherNCNCPDP

Other names 1

  • Thomas Drug Store Doing business as

National Provider Directory

National Provider Directory
Tax ID family
W C Rose Drug Store Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

309 Nash St W
#B
Wilson, NC 27893
Phone (252) 237-1188

NPI Registry JSON

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527206400000",
    "number": "1659516425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309-B NASH ST W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "27893",
            "telephone_number": "252-237-1188",
            "fax_number": "252-206-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309-B NASH ST W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "27893",
            "telephone_number": "252-237-1188",
            "fax_number": "252-206-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W C ROSE DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2018-05-25",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "252-237-1188",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN, C.PED"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "04464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC - IMMUNIZATION",
            "identifier": "047V4",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0985317",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3401697",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas Drug Store",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thomas Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.