MEDIPACK PHARMACY LLC
NPI 1265459614
Pharmacy - Long Term Care Pharmacy in Winston Salem, NC

Active since July 15, 2006CLIA 34D2190397 · Waiver
3917 WESTPOINT BLVD, SUITE A, WINSTON SALEM, NC 27103(336) 773-1013 Get Directions Write a Review

NPPES record last updated: January 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medipack Pharmacy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDIPACK PHARMACY LLC (NPI 1265459614) is a healthcare organization registered as a long term care pharmacy in Winston Salem, North Carolina and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 12, 2026 and lists Richard Jones Whitsell, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1265459614
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameMEDIPACK PHARMACY LLC
Location Address3917 WESTPOINT BLVD, SUITE AWinston Salem, NC 27103-6723
Mailing Address3917 Westpoint Blvd, Suite AWinston Salem, NC 27103-6723 · (336) 773-1013
Organization SubpartNo
Authorized OfficialRichard Jones WhitsellSenior Vice President · (336) 773-1013
Enumeration DateJuly 15, 2006
Last NPPES UpdateJanuary 21, 2016
NPI 1265459614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License Licensed in NC · 08432
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedPharmacy · Institutional PharmacyTaxonomy 3336I0012X
3917 WESTPOINT BLVD, Winston Salem, NC 27103

Other Identifiers 3

Medicaid0347172NC
Other3435319NC · Nabp Identification
Medicare NSC5806720001NC

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2190397

Medipack Pharmacy · Winston-Salem, NC
Active · expires Aug 12, 2026
CLIA Number34D2190397
Laboratory TypePharmacy
Certificate Effective DateAugust 13, 2024
Certificate Expiration DateAugust 12, 2026
Laboratory DirectorRichard J. Whitesell
Laboratory Phone(336) 773-1013
Laboratory LocationMedipack Pharmacy3917 Westpoint Blvd, Ste A, Winston-Salem, NC 27103
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Medipack Pharmacy LLC carries, from the Medicare DMEPOS supplier directory.

Medipack Pharmacy LLC

DMEPOS supplier · Winston Salem, NC

Does not accept Medicare assignment

Medipack Pharmacy LLC has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20572493
Medicare Participant SinceSeptember 15, 2006
Supplier Location3917 Westpoint Blvd Ste AWinston Salem, NC 27103
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
3917 WESTPOINT BLVD
WINSTON SALEM, NC 27103
Pharmacist
3917 WESTPOINT BLVD
WINSTON SALEM, NC 27103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medipack Pharmacy LLC's NPI number?

The NPI number for Medipack Pharmacy LLC is 1265459614. It was assigned to this organization in the NPPES registry on July 15, 2006.

Where is Medipack Pharmacy LLC located?

Medipack Pharmacy LLC is located at 3917 Westpoint Blvd Suite A, Winston Salem, NC 27103. The listed phone number is (336) 773-1013.

What is Medipack Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Medipack Pharmacy LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Medipack Pharmacy LLC does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Medipack Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2190397) is associated with this NPI, valid through August 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medipack Pharmacy LLC accept?

Health plans from Medica and Moda Health Plan, Inc. list Medipack Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Medipack Pharmacy LLC was last updated on January 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.