NPIMap

Organization Active NPI

Pioneer Apco LLC

  • Pharmacy
  • Greensboro, NC
National Provider Identifier
1942981808
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
PIONEER APCO LLC
Practice address
1100 Revolution Mill Dr Ste 10
Greensboro, NC 27405-5067
Phone
(336) 285-7985
NPI assigned
Jul 25, 2023
Organization subpart
Yes
Parent organization
PIONEER APCO LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Authorized official

Name
Dr. John R White Jr., PHARMD
Title
Director of Pharmacy
Phone
(336) 285-7985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

1100 Revolution Mill Dr Ste 10
Greensboro, NC 27405-5067

Mailing address

1100 Revolution Mill Dr Ste 10
Greensboro, NC 27405-5067
Phone (336) 285-7985

Other names 1

  • Upstream LTC Other name

National Provider Directory

National Provider Directory
Tax ID family
Pioneer Apco LLC2 organizations share this tax ID, including this one
Part of
Pioneer Apco LLC

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1942981808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REVOLUTION MILL DR STE 10",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055067",
            "telephone_number": "336-285-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 REVOLUTION MILL DR STE 10",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055067",
            "telephone_number": "336-285-7985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER APCO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIONEER APCO LLC",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "336-285-7985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upstream LTC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.