Organization Active NPI

Medical Center Pharmacy Inc of Hickory

  • Community/Retail Pharmacy
  • Hickory, NC
National Provider Identifier
1033228911
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
01284 Issued in NC
Legal business name
MEDICAL CENTER PHARMACY INC OF HICKORY
Practice address
126 N Center St
Hickory, NC 28601-6215
Phone
(822) 322-7717
Fax
(828) 322-1114
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Authorized official

Name
Joan M Baston
Title
DO
Phone
(828) 322-7717

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 01284 NC
Customized Equipment (DME) 332BC3200X 01284 NC
Dialysis Equipment & Supplies (DME) 332BD1200X 01284 NC
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 01284 NC
Pharmacy 333600000X 01284 NC
Community/Retail Pharmacy 3336C0003X 01284 NC Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

126 N Center St
Hickory, NC 28601-6215

Mailing address

PO Box 1627
Hickory, NC 28603-1627
Phone (828) 322-7717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930009806 NC DME Supplier - Pharmacy 9638295215 Practice locations: Hickory, NC
O20210402000845 NC Part B Supplier - Mass Immunization (Roster Biller Only) 9638295215 Practice locations: Hickory, NC

National Provider Directory

National Provider Directory
Tax ID family
Medical Center Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

126 N Center St
Hickory, NC 28601
Phone (828) 322-7717

Practitioners & affiliated clinicians

Practitioners 7

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1033228911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1627",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286031627",
            "telephone_number": "828-322-7717",
            "fax_number": "828-322-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 N CENTER ST",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286016215",
            "telephone_number": "822-322-7717",
            "fax_number": "828-322-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER PHARMACY INC OF HICKORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "BASTON",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "828-322-7717"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "01284",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": "01284",
            "primary": false
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": "NC",
            "license": "01284",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NC",
            "license": "01284",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "01284",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "01284",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.