NPIMap

Organization Active NPI

Walnut Cove Pharmacy, Inc

  • Pharmacist
  • Walnut Cove, NC
National Provider Identifier
1861944563
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
05086 Issued in NC
Legal business name
WALNUT COVE PHARMACY, INC
Practice address
317 N Main St
Walnut Cove, NC 27052-9200
Phone
(336) 591-7171
Fax
(336) 591-7936
NPI assigned
Oct 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Authorized official

Name
Ronald Dean Watts
Title
Owner
Phone
(336) 591-7171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 05086 NC Primary

Addresses

Primary practice location

317 N Main St
Walnut Cove, NC 27052-9200

Mailing address

PO Box 537
317 N Main St
Walnut Cove, NC 27052-0537
Phone (336) 591-7171

National Provider Directory

National Provider Directory
Tax ID family
Family Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1861944563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 537",
            "address_2": "317 N MAIN ST",
            "city": "WALNUT COVE",
            "state": "NC",
            "postal_code": "270520537",
            "telephone_number": "336-591-7171",
            "fax_number": "336-591-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N MAIN ST",
            "city": "WALNUT COVE",
            "state": "NC",
            "postal_code": "270529200",
            "telephone_number": "336-591-7171",
            "fax_number": "336-591-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT COVE PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-28",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-591-7171"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "05086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Cove, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.