Organization Active NPI

Egb Enterjprises

Doing business as Village Prescription Center

  • Community/Retail Pharmacy
  • Lake Waccamaw, NC
National Provider Identifier
1013218312
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
03991 Issued in NC
Legal business name
EGB ENTERJPRISES
Doing business as
Village Prescription Center
Practice address
108 E Hwy 7476
Lake Waccamaw, NC 28450
Phone
(910) 646-3400
Fax
(910) 646-4056
NPI assigned
Nov 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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

Authorized official

Name
Mr. Eugene G Brown Jr., RPHNPI 1366593170
Title
Pharmacist
Phone
(910) 646-3400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 03991 NC Primary

Addresses

Primary practice location

108 E Hwy 7476
Lake Waccamaw, NC 28450

Mailing address

108 E Hwy 7476
Lake Waccamaw, NC 28450
Phone (910) 646-3400

Other identifiers 1

IdentifierTypeStateIssuer
0245530MedicaidNC

Other names 1

  • Village Prescription Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1013218312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E HWY 7476",
            "city": "LAKE WACCAMAW",
            "state": "NC",
            "postal_code": "28450",
            "telephone_number": "910-646-3400",
            "fax_number": "910-646-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E HWY 7476",
            "city": "LAKE WACCAMAW",
            "state": "NC",
            "postal_code": "28450",
            "telephone_number": "910-646-3400",
            "fax_number": "910-646-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGB ENTERJPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "910-646-3400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "03991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0245530",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Prescription Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Waccamaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.