WOMBLE DRUG STORE (NPI# 1205934171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205934171 |
| Entity Type | Organization |
| Organization Name | WOMBLE DRUG STORE |
| Practice Address |
454 Hwy 64 East Plymouth NC 27962 |
| Mailing Address |
Po Box 99 Plymouth NC 27962-0099 |
| Practice Telephone | 2527939036 |
| Practice Fax Number | 2527931006 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2015-02-25 |
| Authorized Official Name | JONATHAN LUNDY (PRESIDENT) |
| Authorized Official Telephone | 2527939036 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
10413 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 0945014 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3409819 | 01 |
| Street Address |
454 HWY 64 EAST |
| City | PLYMOUTH |
| State | NC |
| Zip Code | 27962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144555095 | Melissa Pledger | Pharmacist | 11 Us Hwy 64 E, Plymouth, NC 27962 | 2009-10-09 |
| 1356569651 | East Carolina Foot and Ankle Specialists | Podiatrist | 958 Hwy 64 East, Plymouth, NC 27962 | 2007-04-23 |
| 1659413581 | Changing Hearts Instead of Losing Lives, Inc | Community/Behavioral Health | 713 Forest Road, Plymouth, NC 27962 | 2007-02-14 |
| 1184720054 | June Elizabeth Woolard | Social Worker | 206 Waters Street, Plymouth, NC 27962 | 2006-09-16 |
| 1285736470 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 734 Us 64 East, Plymouth, NC 27962 | 2006-09-01 |
| 1376568550 | Viswanathan Swaminathan | Psychiatry & Neurology | 804.washington Street, Vidant Behaviour Health, Plymouthy, NC 27962 | 2006-07-12 |
| 1144253758 | Jean Louis Pare | Family Medicine | 1006 Us Hwy 64 East, Plymouth, NC 27962 | 2006-07-08 |
| 1619907227 | Chester Lee Conner | Dentist | 363 Highway 64 West, Plymouth, NC 27962 | 2006-07-03 |
| 1750336855 | Robert Lee Venable | General Practice | 1004 Hwy 64 East, Plymouth, NC 27962 | 2006-05-24 |
| 1124018494 | Cah Acquisition Company 1 LLC | General Acute Care Hospital | 958 Us Highway 64 E, Plymouth, NC 27962 | 2005-10-26 |
| Find all providers in zip 27962 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437620903 | Grand St Paul Cvs LLC | Pharmacy | 17435 County Road 6, Plymouth, MN 55447-3046 | 2018-12-10 |
| 1144390220 | Willard Foods Inc | Pharmacy | 262 Sandusky St, Plymouth, OH 44865-1151 | 2006-11-08 |
| 1366521189 | Martin's Super Market | Pharmacy | 865 E Jefferson St, Plymouth, IN 46563-1847 | 2006-11-03 |
| 1952401390 | Grand St Paul Cvs LLC | Pharmacy | 4140 Rd 101 N, Plymouth, MN 55446 | 2006-09-25 |
| 1568561868 | Cvs Pharmacy Inc | Pharmacy | 2253 State Rd, Plymouth, MA 02360-5150 | 2006-09-22 |
| 1295838902 | Hook Superx LLC | Pharmacy | 1900 N Michigan St, Plymouth, IN 46563-1046 | 2006-09-07 |
| 1972605269 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 49485 Ann Arbor Rd W, Plymouth, MI 48170-3206 | 2006-09-05 |
| 1396857231 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 40900 Ann Arbor Rd E, Plymouth, MI 48170-4430 | 2006-08-31 |
| 1013928605 | Pokerville Drug | Pharmacy | 18170 Hwy 49, Suite A, Plymouth, CA 95669 | 2006-08-10 |
| 1679588990 | Walgreen Co | Pharmacy | 4005 Vinewood Ln N, Plymouth, MN 55442-1734 | 2006-07-29 |
| Find all providers in PLYMOUTH | ||||
Please comment or provide details below to improve the information on WOMBLE DRUG STORE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.