Active NPI
Collin Wofford Runyon, PHARMD
- Pharmacist
- Reidsville, NC
National Provider Identifier
1962815548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21740
- Practice address
- 219 Gilmer St
Reidsville, NC 27320-3809 - Phone
- (336) 349-3313
- Fax
- (336) 349-5555
- NPI assigned
- Jun 11, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21740 | NC | Primary |
Addresses
Primary practice location
219 Gilmer St
Reidsville, NC 27320-3809
Mailing address
1825 Independence Rd
Greensboro, NC 27408-4217
Phone (336) 508-6802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21740 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rxcare Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Reidsville, NC
- NPI 1477543015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402444800000",
"number": "1962815548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 INDEPENDENCE RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274084217",
"telephone_number": "336-508-6802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 GILMER ST",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273203809",
"telephone_number": "336-349-3313",
"fax_number": "336-349-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNYON",
"first_name": "COLLIN",
"middle_name": "WOFFORD",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-11",
"last_updated": "2014-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "21740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reidsville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.