Organization Active NPI

Ja McNeill & Sons & Daughter LLC

Doing business as McNeills Long Term Care Pharmacy

  • Long Term Care Pharmacy
  • Whiteville, NC
National Provider Identifier
1992788020
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
07711 Issued in NC
Legal business name
JA MCNEILL & SONS & DAUGHTER LLC
Doing business as
McNeills Long Term Care Pharmacy
Practice address
712 Tram Rd
Whiteville, NC 28472-3520
Phone
(910) 642-0388
Fax
(866) 642-1152
NPI assigned
Nov 22, 2005
Last updated
Jun 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Authorized official

Name
John A McNeill Jr.
Title
Owner
Phone
(910) 815-3122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 07711 NC Primary

Addresses

Primary practice location

712 Tram Rd
Whiteville, NC 28472-3520

Mailing address

PO Box 2189
Whiteville, NC 28472-7189

Other identifiers 2

IdentifierTypeStateIssuer
0245794MedicaidNC
2072309OtherPK

Other names 1

  • MCNEILLS LONG TERM CARE PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201123000132 NC Part B Supplier - Pharmacy 2769893890 Practice locations: Whiteville, NC

National Provider Directory

National Provider Directory

Locations

712 Tram Rd
Whiteville, NC 28472
Phone (910) 642-0388

Practitioners & affiliated clinicians

Practitioners 6

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": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1992788020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2189",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284727189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 TRAM RD",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723520",
            "telephone_number": "910-642-0388",
            "fax_number": "866-642-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JA MCNEILL & SONS & DAUGHTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "MCNEILL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-815-3122",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NC",
            "license": "07711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0245794",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2072309",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCNEILLS LONG TERM CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MCNEILLS LONG TERM CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whiteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.