Active NPI
Winco Inc
- Pharmacist
- Waynesville, NC
National Provider Identifier
1669548095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3204
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 445189 | Medicaid | NC | |
| 3204 | Other | NC | STATE BOARD OF PHARMACY |
| 3413096 | Other | NC | NCPDP |
Other names 1
- Village Pharmacy
National Provider Directory
National Provider DirectoryNPI 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.