Active NPI
North Village Pharmacy, Inc
- Community/Retail Pharmacy
- Yanceyville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 03238
- Legal business name
- NORTH VILLAGE PHARMACY, INC
- Practice address
- 1493 Main St
Yanceyville, NC 27379-8793 - Phone
- (336) 694-4104
- Fax
- (336) 694-5823
- NPI assigned
- Dec 1, 2008
- Last updated
- Dec 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Hubert Vernon Massengill, RPH
- Title
- President
- Phone
- (336) 694-4104
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 03238 | NC | Primary |
Addresses
Primary practice location
1493 Main St
Yanceyville, NC 27379-8793
Mailing address
1493 Main St
P.O. Box 1209
Yanceyville, NC 27379-8793
Phone (336) 694-4104
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0175125 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- North Village Pharmacy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Yanceyville, NC
- NPI 1194744342
-
- Long Term Care Pharmacy
- Yanceyville, NC
- NPI 1467917039
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Yanceyville, NC
- NPI 1922565258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228089600000",
"number": "1013162312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1493 MAIN ST",
"address_2": "P.O. BOX 1209",
"city": "YANCEYVILLE",
"state": "NC",
"postal_code": "273798793",
"telephone_number": "336-694-4104",
"fax_number": "336-694-5823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1493 MAIN ST",
"city": "YANCEYVILLE",
"state": "NC",
"postal_code": "273798793",
"telephone_number": "336-694-4104",
"fax_number": "336-694-5823"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH VILLAGE PHARMACY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-01",
"last_updated": "2008-12-01",
"status": "A",
"authorized_official_last_name": "MASSENGILL",
"authorized_official_first_name": "HUBERT",
"authorized_official_middle_name": "VERNON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "336-694-4104",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NC",
"license": "03238",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0175125",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yanceyville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.