Active NPI
Windsor Point Pharmacy, Inc.
- Long Term Care Pharmacy
- Fuquay Varina, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 07118
- Legal business name
- WINDSOR POINT PHARMACY, INC.
- Practice address
- 1221 Broad St
Fuquay Varina, NC 27526-3602 - Phone
- (919) 567-0220
- Fax
- (919) 567-2057
- NPI assigned
- Jan 30, 2007
- Last updated
- Sep 2, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Michelle H Avant
- Title
- Accountant
- Phone
- (919) 577-0035
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | 07118 | NC | Primary |
Addresses
Primary practice location
1221 Broad St
Fuquay Varina, NC 27526-3602
Mailing address
1221 Broad St
Fuquay Varina, NC 27526-3602
Phone (919) 567-0220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0920497 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210430001419 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 0143493197 | Practice locations: Clayton, NC |
National Provider Directory
National Provider DirectoryLocations
581 Guy Rd
Ste 102
Clayton, NC 27520
Phone (919) 359-0499
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Windsor Point Inc CCRC | Skilled nursing facility | Adp of the SNF | Mar 28, 1998 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacy Technician
- Clayton, NC
- NPI 1598436156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283385600000",
"number": "1962549055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 BROAD ST",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275263602",
"telephone_number": "919-567-0220",
"fax_number": "919-567-2057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 BROAD ST",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275263602",
"telephone_number": "919-567-0220",
"fax_number": "919-567-2057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINDSOR POINT PHARMACY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2010-09-02",
"status": "A",
"authorized_official_last_name": "AVANT",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "ACCOUNTANT",
"authorized_official_telephone_number": "919-577-0035",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NC",
"license": "07118",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0920497",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fuquay Varina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.