NPIMap

Organization Active NPI

Rutherford Hospital Inc

  • Community/Retail Pharmacy
  • Mooresboro, NC
National Provider Identifier
1003947979
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
07177 Issued in NC
Legal business name
RUTHERFORD HOSPITAL INC
Practice address
607 120 Hwy
Mooresboro, NC 28114
Phone
(828) 453-7455
Fax
(828) 453-9490
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. James B Bross
Title
Vice President and Cfo
Phone
(828) 286-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 07177 NC Primary

Addresses

Primary practice location

607 120 Hwy
Mooresboro, NC 28114

Mailing address

607 120 Hwy
Mooresboro, NC 28114
Phone (828) 453-7455

Other identifiers 2

IdentifierTypeStateIssuer
7150008102701OtherNCSTATE TAX ID #
0815380MedicaidNC

Other names 1

  • RUTHERFORD EAST PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rutherford Hospital Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1003947979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 120 HWY",
            "city": "MOORESBORO",
            "state": "NC",
            "postal_code": "28114",
            "telephone_number": "828-453-7455",
            "fax_number": "828-453-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 120 HWY",
            "city": "MOORESBORO",
            "state": "NC",
            "postal_code": "28114",
            "telephone_number": "828-453-7455",
            "fax_number": "828-453-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTHERFORD HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BROSS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "VICE PRESIDENT AND CFO",
        "authorized_official_telephone_number": "828-286-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "07177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE TAX ID #",
            "identifier": "7150008102701",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0815380",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RUTHERFORD EAST PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mooresboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.