Extensive Pharmaceutical Services, Inc.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

10268 Issued in NC

Legal business name

EXTENSIVE PHARMACEUTICAL SERVICES, INC.

Doing business as

EXTENSIVE PHARMACEUTICAL SERVICES

Practice address

306 N Queen St
Kinston, NC 28501-4932

Phone

(252) 527-1593

Fax

(252) 527-1893

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Glenn Whitley, PHARMD

Title

Manager

Phone

(252) 527-1593

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• EXTENSIVE PHARMACEUTICAL SERVICES Doing business as

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1013015049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 N QUEEN ST",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285014932",
            "telephone_number": "252-527-1593",
            "fax_number": "252-527-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 N QUEEN ST",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285014932",
            "telephone_number": "252-527-1593",
            "fax_number": "252-527-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENSIVE PHARMACEUTICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "WHITLEY",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "252-527-1593",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NC",
            "license": "10268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0545681",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3430763",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXTENSIVE PHARMACEUTICAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Kinston, NC
• Providers in Kinston, NC by specialty
• Long Term Care Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.