WILSONVALUE DRUG STORE
NPI 1629477377
Pharmacy - Community/Retail Pharmacy in Wilson, NC

Active since August 19, 2014CLIA 34D2184034 · Waiver
404 NASH ST NE, WILSON, NC 27893(252) 293-4177(252) 293-4180 Get Directions Write a Review

NPPES record last updated: April 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wilsonvalue Drug Store NPPES

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

WILSONVALUE DRUG STORE (NPI 1629477377) is a healthcare organization registered as a community/retail pharmacy in Wilson, North Carolina and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through May 13, 2028 and lists Ijeoma Uwakwe, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1629477377
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameEICCUA LLC
Location Address404 NASH ST NEWilson, NC 27893-3743
Mailing Address404 Nash St NeWilson, NC 27893-3743 · (252) 293-4177 · Fax (252) 293-4180
Fax(252) 293-4180
Organization SubpartNo
Authorized OfficialIjeoma UwakwePharmacist · (252) 293-4177
Enumeration DateAugust 19, 2014
Last NPPES UpdateApril 25, 2016
NPI 1629477377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in NC · 12073
Definition
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.
404 NASH ST NE, Wilson, NC 27893

Other Names 1

Doing Business AsWilsonvalue Drug Store

Other Identifiers 2

Medicaid1629477377NC
Medicare NSC7488720001NC

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 34D2184034

Wilson Value Drug Store · Wilson, NC
Active · expires May 13, 2028
CLIA Number34D2184034
Laboratory TypePharmacy
Certificate Effective DateMay 14, 2026
Certificate Expiration DateMay 13, 2028
Laboratory DirectorIjemoa Uwakwe
Laboratory Phone(252) 293-4177
Laboratory LocationWilson Value Drug Store404 Nash St East, Wilson, NC 27893
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
21 services21 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
19 services19 patients

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 Eiccua LLC's NPI number?

The NPI number for Eiccua LLC is 1629477377. It was assigned to this organization in the NPPES registry on August 19, 2014. The provider is doing business as Wilsonvalue Drug Store.

Where is Eiccua LLC located?

Eiccua LLC is located at 404 Nash St NE, Wilson, NC 27893. The listed phone number is (252) 293-4177.

What is Eiccua LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Eiccua LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2184034) is associated with this NPI, valid through May 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eiccua LLC accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and Avera Health Plans and 27 other insurers list Eiccua 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 Eiccua LLC was last updated on April 25, 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.