NPIMap

Organization Active NPI

Southern Associates of the Carolinas, Inc

  • Long Term Care Pharmacy
  • Pink Hill, NC
National Provider Identifier
1013008945
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
08224 Issued in NC
Legal business name
SOUTHERN ASSOCIATES OF THE CAROLINAS, INC
Practice address
4459 Tar Hill Dr
Pink Hill, NC 28572-9649
Phone
(252) 568-9945
Fax
(252) 568-3983
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Mr. Chad Terry, PHARMD
Title
President
Phone
(252) 568-9945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 08224 NC Primary

Addresses

Primary practice location

4459 Tar Hill Dr
Pink Hill, NC 28572-9649

Mailing address

4459 Tar Hill Dr
Pink Hill, NC 28572-9649
Phone (252) 568-9945

Other identifiers 2

IdentifierTypeStateIssuer
0214000757MedicaidVA
0545608MedicaidNC

Other names 1

  • Southern Pharmacy Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1013008945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4459 TAR HILL DR",
            "city": "PINK HILL",
            "state": "NC",
            "postal_code": "285729649",
            "telephone_number": "252-568-9945",
            "fax_number": "252-568-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4459 TAR HILL DR",
            "city": "PINK HILL",
            "state": "NC",
            "postal_code": "285729649",
            "telephone_number": "252-568-9945",
            "fax_number": "252-568-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ASSOCIATES OF THE CAROLINAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-568-9945",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NC",
            "license": "08224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0214000757",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0545608",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Pharmacy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pink Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.