WINCO INC (NPI# 1669548095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669548095 |
| Entity Type | Organization |
| Organization Name | WINCO INC |
| Other Organization Name | VILLAGE PHARMACY |
| Practice Address |
345 Walnut St Waynesville NC 28786-3254 |
| Practice Telephone | 8284568710 |
| Practice Fax Number | 8284568421 |
| Mailing Telephone | 8284568710 |
| Mailing Fax Number | 8284568421 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JAMES H WINFREE (OWNER) |
| Authorized Official Telephone | 8284568710 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 3204 | NC | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NCPDP | 3413096 | 01 |
| NC | STATE BOARD OF PHARMACY | 3204 | 01 |
| DEA | AV6553728 | 01 | |
| NC | 445189 | 05 |
| Other Name | Type Code |
|---|---|
| Village Pharmacy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Winco Inc. an Oregon based corporation | 22300 Yellow Gate Ln Ne, Aurora, Oregon 97002-8434 |
| Street Address |
345 WALNUT ST |
| City | WAYNESVILLE |
| State | NC |
| Zip Code | 28786-3254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073005898 | Ezekiel Jonathan Watts | Chiropractor | 627 N Main St Ste 2, Waynesville, NC 28786 | 2018-06-06 |
| 1093228009 | Ingles Markets Inc | Pharmacy | 1670 Brown Ave, Waynesville, NC 28786 | 2017-11-13 |
| 1588198485 | Suzanne Howle | Speech-Language Pathologist | 516 Wall Street, Waynesville, NC 28786 | 2017-04-18 |
| 1477086627 | Cm Pharmacy LLC | Pharmacy | 97 Kent Lane, Waynesville, NC 28786 | 2017-04-05 |
| 1417315524 | Meridian Behavioral Health Services, Inc | Community/Behavioral Health | 495 Brown Ave, Waynesville, NC 28786 | 2016-02-03 |
| 1710342639 | Lauren Keeler | Pharmacist | 259 Barber Blvd, Waynesville, NC 28786 | 2015-12-18 |
| 1124467154 | Meridian Behavioral Health Services, Inc. | Community/Behavioral Health | 367 Dellwood Rd Ste E, Waynesville, NC 28786 | 2013-06-24 |
| 1750681888 | Crystal Klunk | Counselor | 669 South Haywood Street, Waynesville, NC 28786 | 2010-10-22 |
| 1043527294 | Amanda Clemmons Savage | Pharmacist | 366 Russ Ave, Kim's Pharmacy, Waynesville, NC 28786 | 2010-09-09 |
| 1902064355 | Rebecca Lynn Mattson | Pharmacist | 733 Russ Ave, Waynesville, NC 28786 | 2008-05-31 |
| Find all providers in zip 28786 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659985208 | Maureen Gearhart | Pharmacist | 2172 Buckeye Ct, Waynesville, OH 45068-8250 | 2020-09-01 |
| 1851869507 | Drew Lace | Pharmacist | 124 Frazier St, Waynesville, NC 28786-2806 | 2018-11-10 |
| 1376053884 | Franklin Boyd Rodriguez | Pharmacist | 201 Barber Blvd, Waynesville, NC 28786-3686 | 2017-10-10 |
| 1710342639 | Lauren Keeler | Pharmacist | 259 Barber Blvd, Waynesville, NC 28786 | 2015-12-18 |
| 1245604891 | Curtis George | Pharmacist | 19743 Sackett Ln, Waynesville, MO 65583-3499 | 2015-11-19 |
| 1043527294 | Amanda Clemmons Savage | Pharmacist | 366 Russ Ave, Kim's Pharmacy, Waynesville, NC 28786 | 2010-09-09 |
| 1396079877 | Megan Hill | Pharmacist | 7378 Silver Lake Dr, Waynesville, OH 45068-1120 | 2009-09-30 |
| 1417189028 | Charlene Mong | Pharmacist | 590 Russ Ave, Waynesville, NC 28786-2936 | 2009-08-14 |
| 1902064355 | Rebecca Lynn Mattson | Pharmacist | 733 Russ Ave, Waynesville, NC 28786 | 2008-05-31 |
| 1235396524 | Christy Cagle Kirkpatrick | Pharmacist | 97 Kent Ln, Waynesville, NC 28786-6099 | 2008-05-22 |
| Find all providers in WAYNESVILLE | ||||
| City | WAYNESVILLE |
| Zip Code | 28786 |
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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.