Active NPI
Warsaw RX LLC
- Pharmacy
- Warsaw, NC
National Provider Identifier
1801083449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 09914
- Legal business name
- WARSAW RX LLC
- Practice address
- 107 S Pine St
Warsaw, NC 28398-1924 - Phone
- (910) 293-4334
- Fax
- (910) 293-4397
- NPI assigned
- Sep 27, 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
- Kelsey Gelderman
- Title
- Credentialing
- Phone
- (252) 943-8688
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 09914 | NC | Primary |
Addresses
Primary practice location
107 S Pine St
Warsaw, NC 28398-1924
Mailing address
PO Box 295
Richlands, NC 28574-0295
Phone (252) 943-8688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2150557 | Other | PK |
Other names 1
- ValueRx
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170802002378 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 8527339076 | Practice locations: Warsaw, NC |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider DirectoryLocations
107 S Pine St
Warsaw, NC 28398
Phone (910) 293-4334
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Warsaw, NC
- NPI 1639541477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737417600000",
"number": "1801083449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 295",
"city": "RICHLANDS",
"state": "NC",
"postal_code": "285740295",
"telephone_number": "252-943-8688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 S PINE ST",
"city": "WARSAW",
"state": "NC",
"postal_code": "283981924",
"telephone_number": "910-293-4334",
"fax_number": "910-293-4397"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WARSAW RX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-27",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A",
"authorized_official_last_name": "GELDERMAN",
"authorized_official_first_name": "KELSEY",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "252-943-8688"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NC",
"license": "09914",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2150557",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ValueRx",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Warsaw, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.