Organization Active NPI

Hospital Pharmacy of Washington Inc

  • Pharmacy
  • Washington, NC
National Provider Identifier
1710522776
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
HOSPITAL PHARMACY OF WASHINGTON INC
Doing business as
ONEALS DRUG STORE
Practice address
601 E 12TH St
Washington, NC 27889-3408
Phone
(252) 946-4113
NPI assigned
Nov 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Authorized official

Name
Walton Prentiss Oneal III, PHARMD
Title
President
Phone
(252) 943-1913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

601 E 12TH St
Washington, NC 27889-3408

Mailing address

275 Pamlico St
Belhaven, NC 27810-1417
Phone (252) 943-1913

Other names 1

  • ONEALS DRUG STORE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200326000170 NC Part B Supplier - Mass Immunization (Roster Biller Only) 3678902665 Practice locations: Washington, NC
O20200328000004 NC DME Supplier - Pharmacy 3678902665 Practice locations: Washington, NC

National Provider Directory

National Provider Directory
Tax ID family
Hospital Pharmacy of Washington Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

275 Pamlico St
Belhaven, NC 27810
Phone (252) 943-2656

NPI Registry JSON

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573689600000",
    "number": "1710522776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 PAMLICO ST",
            "city": "BELHAVEN",
            "state": "NC",
            "postal_code": "278101417",
            "telephone_number": "252-943-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E 12TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893408",
            "telephone_number": "252-946-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL PHARMACY OF WASHINGTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A",
        "authorized_official_last_name": "ONEAL",
        "authorized_official_first_name": "WALTON",
        "authorized_official_middle_name": "PRENTISS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-943-1913",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ONEALS DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.