Organization Active NPI

Winco Inc

  • Pharmacist
  • Waynesville, NC
National Provider Identifier
1669548095
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3204 Issued in NC
Legal business name
WINCO INC
Doing business as
Village Pharmacy
Practice address
345 Walnut St
Waynesville, NC 28786-3254
Phone
(828) 456-8710
Fax
(828) 456-8421
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. James H Winfree, RPH
Title
Owner
Phone
(828) 456-8710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 3204 NC Primary

Addresses

Primary practice location

345 Walnut St
Waynesville, NC 28786-3254

Mailing address

345 Walnut St
Waynesville, NC 28786-3254
Phone (828) 456-8710

Other identifiers 3

IdentifierTypeStateIssuer
445189MedicaidNC
3204OtherNCSTATE BOARD OF PHARMACY
3413096OtherNCNCPDP

Other names 1

  • Village Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1669548095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 WALNUT ST",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287863254",
            "telephone_number": "828-456-8710",
            "fax_number": "828-456-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 WALNUT ST",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287863254",
            "telephone_number": "828-456-8710",
            "fax_number": "828-456-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINCO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WINFREE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-456-8710",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "3204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "445189",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY",
            "identifier": "3204",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3413096",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waynesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.