Chocowinity Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

07717 Issued in NC

Legal business name

CHOCOWINITY PHARMACY INC

Doing business as

ONeals Drug Store

Practice address

685 Hwy 33 East
Chocowinity, NC 27817

Phone

(252) 946-4000

Fax

(252) 946-6890

NPI assigned

Sep 21, 2006

Last updated

Dec 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Walton Oneal, PHARMD

Title

President

Phone

(292) 943-1913

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• ONeals Drug Store Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1710085691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5",
            "city": "CHOCOWINITY",
            "state": "NC",
            "postal_code": "278170005",
            "telephone_number": "252-946-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 HWY 33 EAST",
            "city": "CHOCOWINITY",
            "state": "NC",
            "postal_code": "27817",
            "telephone_number": "252-946-4000",
            "fax_number": "252-946-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOCOWINITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "ONEAL",
        "authorized_official_first_name": "WALTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "292-943-1913",
        "authorized_official_credential": "PHARMD"
    },
    "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": "07717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703308",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2068808",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ONeals Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lynn Cale Bassett, LCSW
• Beaufort Regional Physicians, LLC (Chocowinity Family Care)
• Beyond Measure Community Outreach
• Charytis Way Transportation
• Chocowinity EMS
• Chocowinity Pharmacy Inc (O'Neals Drug Store)
• Chocowinity Pharmacy, Inc
• Coastal Solutions LLC
• Coastal Solutions LLC
• Comprehensive Anesthesia Services, Inc.

• Community/Retail Pharmacy in Chocowinity, NC
• Providers in Chocowinity, 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 Dec 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.