Ingles Markets Inc
Organization Active NPI Community/Retail Pharmacy · Hayesville, NC
NPI 1013140938 · NPPES record last updated Aug 15, 2019
Key facts
- NPI
- 1013140938
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 10349 (NC)
- Legal business name
- INGLES MARKETS INC
- Practice address
- 230 Hwy 64 E
Hayesville, NC 28904 - Phone
- (828) 389-2970
- Fax
- (828) 389-2971
- NPI assigned
- Aug 26, 2009
- Organization subpart
- No
Authorized official
- Name
- Mr. Stephen V Cucchi, RPH
- Title
- VP of Pharmacy
- Phone
- (828) 669-2941
Other NPIs on the same Medicare enrollment 45
Practitioners 1
-
Donnie Herbert Payne, PHARMACIST
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090727000367 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 5092867614 |
45 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Franklin, NC; Granite Falls, NC; Hayesville, NC; Hendersonville, NC; Kings Mountain, NC; Lake Lure, NC; Candler, NC; Lincolnton, NC… |
| O20100930005481 | NC | DME Supplier - Pharmacy |
5092867614 | Practice locations: Hayesville, NC |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 10349 | NC | Yes |
Addresses
Primary practice location
230 Hwy 64 E
Hayesville, NC 28904
Mailing address
PO Box 603941
Charlotte, NC 28260-3941
Phone (828) 669-2941
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003125601A | Medicaid | GA | |
| 0225160 | Medicaid | NC |
Other names
- Ingles Pharmacy #116
Other providers in Hayesville, NC
- Hometown Healthcare, PC
- Hope on Wings
- Russell Alan Hughes
- Hyer Health LLC
- Hyer Health LLC
- Iona Resources LLC
- Jeffrey L. Taylor OD and Lynn C. Taylor OD, PA
- Mary Ann Johnson
- Dana Kennedy
- Kerr Drug Inc
All providers in Hayesville, 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 Aug 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.