Salemburg Pharmacy Inc – Community/Retail Pharmacy

Key facts

NPI: 1013064476
Entity type: Organization (NPI type 2)
Primary specialty: Community/Retail Pharmacy 3336C0003X
License: 04046 (NC)
Legal business name: SALEMBURG PHARMACY INC
Practice address: 112 West College St
Salemburg, NC 28385
Phone: (910) 525-4490
Fax: (910) 525-3346
NPI assigned: Jan 5, 2007
Organization subpart: No

Authorized official

Name: Mrs. Jane Howard Price, PHARMACY TECH
Title: Sec Treas Business Manager Pharmacy
Phone: (910) 525-4490

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	04046	NC
Parenteral & Enteral Nutrition Supplies (DME)	332BP3500X	04046	NC
Pharmacy	333600000X	04046	NC
Community/Retail Pharmacy	3336C0003X	04046	NC	Yes
Prosthetic/Orthotic Supplier	335E00000X	04046	NC

Addresses

Primary practice location

112 West College St
Salemburg, NC 28385

Mailing address

PO Box 385
Salemburg, NC 28385
Phone (910) 525-4490

Other identifiers

Identifier	Type	State	Issuer
7703763	Medicaid	NC
0825224	Medicaid	NC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 28, 2008.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1013064476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 385",
            "city": "SALEMBURG",
            "state": "NC",
            "postal_code": "28385",
            "telephone_number": "910-525-4490",
            "fax_number": "910-525-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 WEST COLLEGE ST",
            "city": "SALEMBURG",
            "state": "NC",
            "postal_code": "28385",
            "telephone_number": "910-525-4490",
            "fax_number": "910-525-3346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEMBURG PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "SEC TREAS BUSINESS MANAGER PHARMACY",
        "authorized_official_telephone_number": "910-525-4490",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMACY TECH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "04046",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NC",
            "license": "04046",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "04046",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "04046",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NC",
            "license": "04046",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703763",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0825224",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salemburg, NC

All providers in Salemburg, NC · Community/Retail Pharmacy in North Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.