Active NPI
W C Rose Drug Store Inc
- Prosthetic/Orthotic Supplier
- Wilson, NC
National Provider Identifier
1700935665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 20989
- Legal business name
- W C ROSE DRUG STORE INC
- Practice address
- 309-B Nash St W
Wilson, NC 27893 - Phone
- (252) 237-1188
- Fax
- (252) 206-1990
- NPI assigned
- Jan 9, 2007
- 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
- Mrs. Karen H Rose, BSN, RN, CPED
- Title
- Billing Manager
- Phone
- (252) 237-1188
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | 20989 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04464 | Other | NC | NC BOARD OF PHARMACY |
| 7700290 | Medicaid | NC | |
| 7795295 | Other | NC | MEDICAID O&P |
Other names 1
- Thomas Drug Store
National Provider Directory
National Provider Directory- Tax ID family
- W C Rose Drug Store Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Wilson, NC
- NPI 1659516425
-
- Pharmacy
- Wilson, NC
- NPI 1912986001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1527120000000",
"number": "1700935665",
"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": "2007-01-09",
"last_updated": "2018-05-24",
"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": "BSN, RN, CPED"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NC",
"license": "20989",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC BOARD OF PHARMACY",
"identifier": "04464",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7700290",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID O&P",
"identifier": "7795295",
"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 24, 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.