Organization Active NPI

Oakwood Pharmacy Inc

  • Community/Retail Pharmacy
  • Rocky Mount, NC
National Provider Identifier
1942226097
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
OAKWOOD PHARMACY INC
Practice address
329 N Fairview Rd
Rocky Mount, NC 27801
Phone
(252) 442-8159
Fax
(252) 442-0332
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Gary Stephen Jared Sr., RPHNPI 1073542957
Title
Manager Owner
Phone
(252) 442-8159

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 02429 NC
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 02429 NC
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

329 N Fairview Rd
Rocky Mount, NC 27801

Mailing address

329 N Fairview Rd
Rocky Mount, NC 27801
Phone (252) 442-8159

Other identifiers 4

IdentifierTypeStateIssuer
0441EOtherNCBCBS
0335075MedicaidNC
7701166MedicaidNC
3401964OtherNABP

National Provider Directory

National Provider Directory
Tax ID family
Oakwood 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.

Locations

329 N Fairview Rd
Rocky Mount, NC 27801
Phone (252) 442-8159

Practitioners & affiliated clinicians

Practitioners 3

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": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1942226097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 N FAIRVIEW RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "27801",
            "telephone_number": "252-442-8159",
            "fax_number": "252-442-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 N FAIRVIEW RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "27801",
            "telephone_number": "252-442-8159",
            "fax_number": "252-442-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKWOOD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "JARED",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "MANAGER OWNER",
        "authorized_official_telephone_number": "252-442-8159",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "02429",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NC",
            "license": "02429",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0441E",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0335075",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7701166",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3401964",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.