NPIMap

Organization Active NPI

Columbia Pharmacy Inc

Doing business as Columbia Pharmacy

  • Community/Retail Pharmacy
  • Columbia, NC
National Provider Identifier
1982626552
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
09900 Issued in NC
Legal business name
COLUMBIA PHARMACY INC
Doing business as
Columbia Pharmacy
Practice address
214 Main St
Columbia, NC 27925
Phone
(252) 796-2421
Fax
(252) 796-1124
NPI assigned
Jul 24, 2006
Last updated
Nov 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Authorized official

Name
Mr. Walton Prentiss Oneal III, PHARMDNPI 1750401386
Title
Owner
Phone
(252) 943-2643

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 09900 NC Primary

Addresses

Primary practice location

214 Main St
Columbia, NC 27925

Mailing address

PO Box 239
Columbia, NC 27925-0239
Phone (252) 796-2421

Other identifiers 2

IdentifierTypeStateIssuer
2069093OtherPK
0895060MedicaidNC

Other names 1

  • COLUMBIA PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130515000410 NC Part B Supplier - Mass Immunization (Roster Biller Only) 6507985231 1 other NPI on this enrollment
Practice locations: Columbia, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Columbia Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542585600000",
    "number": "1982626552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 239",
            "city": "COLUMBIA",
            "state": "NC",
            "postal_code": "279250239",
            "telephone_number": "252-796-2421",
            "fax_number": "252-796-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 MAIN ST",
            "city": "COLUMBIA",
            "state": "NC",
            "postal_code": "27925",
            "telephone_number": "252-796-2421",
            "fax_number": "252-796-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2018-11-19",
        "status": "A",
        "authorized_official_last_name": "ONEAL",
        "authorized_official_first_name": "WALTON",
        "authorized_official_middle_name": "PRENTISS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-943-2643",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "09900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2069093",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0895060",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLUMBIA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COLUMBIA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.