Medical Park Pharmacy Greenville

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

09288 Issued in NC

Legal business name

MEDICAL PARK PHARMACY GREENVILLE

Practice address

1872 W Arlington Blvd
Ste M
Greenville, NC 27834-5704

Phone

(252) 321-0222

Fax

(252) 321-0508

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Stephen WicherNPI 1437466257

Title

Vice President

Phone

(252) 726-0777

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MEDICAL PARK PHARMACY Doing business as

Locations

Practitioners 2

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

• Stephen Anthony Wicher, RPH

  • Pharmacist
  • Greenville, NC
  • NPI 1437466257
  NPD (past) Authorized official
• Lauren Galloway, PHARMD

  • Pharmacist
  • Greenville, NC
  • NPI 1114398443
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1699720441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1872 W ARLINGTON BLVD",
            "address_2": "STE M",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345704",
            "telephone_number": "252-321-0222",
            "fax_number": "252-321-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1872 W ARLINGTON BLVD",
            "address_2": "STE M",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345704",
            "telephone_number": "252-321-0222",
            "fax_number": "252-321-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PARK PHARMACY GREENVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "WICHER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "252-726-0777"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "09288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0745961",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2065833",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL PARK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie Mitchell Measamer, MS CCC SLP
• Daquan Rudolph Mebane, MS
• Med Careeast P a
• Med Express East
• Medi Rides & Transport Services LLC
• Medical Park Pharmacy Greenville, Inc
• David Patrick Meehan, MD
• Haywood Meeks, DO
• Karen Phelps Meeks, PTA
• McKinley Grace Meeks

• Community/Retail Pharmacy in Greenville, NC
• Providers in Greenville, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.