Medical Park Pharmacy Washington Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

12066 Issued in NC

Legal business name

MEDICAL PARK PHARMACY WASHINGTON INC

Practice address

1316 John Small Ave
Washington, NC 27889-3843

Phone

(252) 726-0777

Fax

(252) 726-6497

NPI assigned

Aug 25, 2014

Organization subpart

No

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

Authorized official

Name

Robert Williams

Title

President

Phone

(252) 726-0777

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Medical Park Pharmacy Doing business as

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482019200000",
    "number": "1801296116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2308",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572308",
            "telephone_number": "252-726-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 JOHN SMALL AVE",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893843",
            "telephone_number": "252-726-0777",
            "fax_number": "252-726-6497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PARK PHARMACY WASHINGTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2016-12-18",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "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": "12066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147658",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Park Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Steven McCoy, DMD
• Jessica Michole McIntyre, LCSW
• Robin Stevenson McKeel, O.D.
• Megan McMunigle, PA-C
• Jenny Eborn McNeill, OTR/L
• Lori Champion Melton, LPC, CRC, CPHT
• Mental Health Association in NC
• Mental Health Association of NC
• Metropolitan Community Health Services, Inc
• Metropolitan Community Health Services, Inc

• Community/Retail Pharmacy in Washington, NC
• Providers in Washington, 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 18, 2016; 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.