Oneals of Plymouth Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ONEALS OF PLYMOUTH INC

Practice address

454 US Highway 64 E
Plymouth, NC 27962-9593

Phone

(252) 943-2643

NPI assigned

Aug 30, 2021

Organization subpart

No

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

Authorized official

Name

Walton Oneal III, PHARMD

Title

President

Phone

(252) 943-1913

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Tax ID family

Oneals of Plymouth Inc2 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.

• Oneals of Plymouth Inc

  • Long Term Care Pharmacy
  • Plymouth, NC
  • NPI 1730006693
  NPD tax ID

Locations

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1902573686",
    "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": "252-943-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 US HIGHWAY 64 E",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279629593",
            "telephone_number": "252-943-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONEALS OF PLYMOUTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "ONEAL",
        "authorized_official_first_name": "WALTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-943-1913",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Nowarah
• Chang Y Oak, MD
• Shanta Ogwe, LMFTA
• Oneals Family Practice PLLC
• Oneals of Plymouth Inc
• Sarah Mayfield Overholt, RD, LDN
• Jean Louis Pare, MD
• Partners in Care LLC
• Pathfinders of Coastal Carolina, Inc.
• Pathfinders of Coastal Carolina, Inc.

• Community/Retail Pharmacy in Plymouth, NC
• Providers in Plymouth, 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 Jul 17, 2024; 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.