WALDEN ASSOCIATES INC (NPI# 1578646519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578646519 |
Entity Type | Organization |
Organization Name | WALDEN ASSOCIATES INC |
Other Organization Name | SUPER REX DRUGS |
Practice Address |
106 E Main St Boonville NC 27011-8764 |
Mailing Address |
Po Box 10 Boonville NC 27011-0010 |
Practice Telephone | 3363675333 |
Enumeration Date | 2006-10-23 |
Last Update Date | 2015-05-20 |
Authorized Official Name | DAVID BALLARD (PIC) |
Authorized Official Telephone | 3363675333 |
Authorized Official Credential | RPH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
N | 333600000X | Pharmacy | Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
04148 | NC | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2069029 | 01 | |
NC | 0995118 | 05 |
Other Name | Type Code |
---|---|
SUPER REX DRUGS | Doing Business As Name - Organization |
Street Address |
106 E MAIN ST |
City | BOONVILLE |
State | NC |
Zip Code | 27011-8764 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306356084 | Healthstat Onsite Clinic Parkdale Plant 25 | Preventive Medicine | 114 Woodruff Road, Boonville, NC 27011 | 2017-10-06 |
1942220454 | Quality Care Senior Services, Inc. | Nurse's Aide | 113 B West Main St., Boonville, NC 27011 | 2006-07-20 |
1083911705 | Rocky Mountain Holdings LLC | Ambulance | 301 Medical Center Blvd, Winston-salem, NC 27011-7812 | 2011-02-15 |
1174979371 | Holly Ann Foster | Massage Therapist | 106 Martin Ave, Boonville, NC 27011-8166 | 2016-05-06 |
1184975716 | Yadkin Home Place Six Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 160 River Rd, Boonville, NC 27011-8338 | 2012-09-22 |
1811304256 | Carolina Residential Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 160 River Rd, Boonville, NC 27011-8338 | 2014-07-17 |
1003966383 | Yadkin County Schools | Psychologist | 3801b River Road, Boonville, NC 27011-8341 | 2007-01-11 |
1548679178 | Donald Morgan | Skilled Nursing Facility | 1349 Burton Rd, Boonville, NC 27011-8609 | 2014-08-07 |
1518141506 | Country Love Home Care LLC | Community/Behavioral Health | 2632 Holcomb Rd, Boonville, NC 27011-8834 | 2007-12-26 |
1275617284 | Care South Inc | Home Health | 3016 Twins Pl, Boonville, NC 27011-8961 | 2006-10-25 |
Find all providers in zip 27011 |
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] |
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1336347822 | Kph Healthcare Services, Inc. | Pharmacy | 261 Utica Boulevard, Boonville, NY 13309 | 2007-07-05 |
1639633548 | Millers Medical Arts Inc | Pharmacy | 800 Main St, Boonville, MO 65233-1658 | 2019-01-24 |
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1245847599 | Western Brothers LLC | Pharmacy | 1943 E 7th St, Charlotte, NC 28204-2417 | 2020-09-29 |
1881200897 | University of North Carolina Health Care System | Pharmacy | 100 Eastowne Dr Ste 1100, Chapel Hill, NC 27514-2286 | 2020-09-16 |
1730792615 | Jill Manning West | Pharmacy | 118 Mackenan Dr., Suite 200, Cary, NC 27511 | 2020-08-28 |
1912516196 | Avs 2020 Inc | Pharmacy | 6118 Farrington Rd Ste H, Chapel Hill, NC 27517-8108 | 2020-07-23 |
1780202788 | Rosemond Salia | Pharmacy | 720 E Highway 74 Business, Rockingham, NC 28379 | 2020-07-07 |
1801410295 | Scenic Pharmacy, Inc | Pharmacy | 113 Scenic Outlet Ln Ste 1, Mount Airy, NC 27030-9978 | 2020-06-02 |
1356977672 | Cape Fear Discount Drug - Hope Mills, LLC | Pharmacy | 3018 N Main St, Hope Mills, NC 28348-1722 | 2020-03-18 |
1639705957 | Cape Fear Discount Drug - Ramsey, LLC | Pharmacy | 4417 Ramsey St, Fayetteville, NC 28311-2134 | 2020-03-18 |
Find all providers with the same taxonomy |
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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.