Beulaville Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

10177 Issued in NC

Legal business name

BEULAVILLE PHARMACY INC

Doing business as

Beulaville Pharmacy Inc

Practice address

103 Crossover Rd
Beulaville, NC 28518-8801

Phone

(910) 298-3093

NPI assigned

Oct 24, 2008

Last updated

Jan 17, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christopher DixonNPI 1386764108

Title

Owner Phcy Manager

Phone

(252) 626-4343

Specialties & licenses 3

Addresses

Other names 1

• Beulaville Pharmacy Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher Thad Dixon, RPH

  • Pharmacist
  • Beulaville, NC
  • NPI 1386764108
  NPD (past) Authorized official
• Laurie Alejo, PHARMD

  • Pharmacist
  • Beulaville, NC
  • NPI 1164862579
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1003069832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "BEULAVILLE",
            "state": "NC",
            "postal_code": "285180429",
            "telephone_number": "910-298-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CROSSOVER RD",
            "city": "BEULAVILLE",
            "state": "NC",
            "postal_code": "285188801",
            "telephone_number": "910-298-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEULAVILLE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-24",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER PHCY MANAGER",
        "authorized_official_telephone_number": "252-626-4343"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "10177",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beulaville Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Ivey Anderson, PTA
• Autumn Village, Inc.
• Gary Batts, PTA
• Beulaville Chiropractic PLLC
• Beulaville Eye Care, Inc.
• Taylor Blizzard
• Demetria Boone
• Tommie F Bostic Jr.
• Morgan Brann
• Amanda Brinson, LCSW

• Community/Retail Pharmacy in Beulaville, NC
• Providers in Beulaville, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.