Organization Active NPI

Regional Medical Oncology Center

  • Pharmacy Technician
  • Wilson, NC
National Provider Identifier
1922425891
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
193200000X Issued in NC
Legal business name
REGIONAL MEDICAL ONCOLOGY CENTER
Practice address
2624 Ortho Dr
Wilson, NC 27893
Phone
(252) 991-5261
Fax
(252) 991-5262
NPI assigned
Mar 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Authorized official

Name
Tracie L Whitley, RN
Title
Practice Manager
Phone
(252) 991-5261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 183700000X 193200000X NC Primary

Addresses

Primary practice location

2624 Ortho Dr
Wilson, NC 27893

Mailing address

2624 Ortho Dr W
Wilson, NC 27893-3484
Phone (252) 991-5261

Other identifiers 1

IdentifierTypeStateIssuer
6901720001OtherNCDMERC PTAN

National Provider Directory

National Provider Directory

Locations

2624 Ortho Dr W
Wilson, NC 27893
Phone (252) 293-0777

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": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1922425891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 ORTHO DR W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933484",
            "telephone_number": "252-991-5261",
            "fax_number": "252-991-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 ORTHO DR",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "27893",
            "telephone_number": "252-991-5261",
            "fax_number": "252-991-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL MEDICAL ONCOLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "WHITLEY",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "252-991-5261",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacy Technician",
            "state": "NC",
            "license": "193200000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC PTAN",
            "identifier": "6901720001",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.