Ingles Markets Inc
Organization Active NPI Community/Retail Pharmacy · Asheville, NC
NPI 1023023975 · NPPES record last updated Aug 14, 2019
Key facts
- NPI
- 1023023975
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 07815 (NC)
- Legal business name
- INGLES MARKETS INC
- Practice address
- 1141 Tunnel Rd
Asheville, NC 28805-2037 - Phone
- (828) 298-1425
- Fax
- (828) 298-2523
- NPI assigned
- Jul 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Stephen V Cucchi, RPH
- Title
- Vice President of Pharmacy
- Phone
- (828) 669-2941
Other NPIs on the same Medicare enrollment 45
Practitioners 4
-
Matthew Anderson Kiger, PHARM.D.
-
Ciel Santos, PHARMD
-
David Steven Taylor, PHARM D
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2184753 | Ingles Markets, Inc (Ingles Pharmacy #004) | Certificate of waiver | May 25, 2028 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Ingles Markets Inc |
Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Accepts assignment |
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… |
| O20100930100657 | NC | DME Supplier - Pharmacy |
5092867614 | Practice locations: Asheville, NC |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 07815 | NC | Yes |
Addresses
Primary practice location
1141 Tunnel Rd
Asheville, NC 28805-2037
Mailing address
PO Box 603941
Charlotte, NC 28260-3941
Phone (828) 669-2941
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3439165 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 0116857 | Medicaid | NC |
Other names
- INGLES PHARMACY #004
Other providers in Asheville, NC
- Incite, Inc
- Independent Nephrology Services, Inc.
- Nancy Lyn Indriso
- Laura Louise Ingkatanuwat
- Brenna Shea Ingle
- Ingles Markets Inc
- Ingles Markets Inc
- Ingles Markets Inc
- Ingles Markets Inc
- Ingles Markets Inc
All providers in Asheville, 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 14, 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.