Active NPI
Medical Center Pharmacy Inc of Hickory
- Community/Retail Pharmacy
- Hickory, NC
National Provider Identifier
1033228911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 01284
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Hickory, NC
- NPI 1417684176
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.
-
- Pharmacist
- Hickory, NC
- NPI 1568015618
-
- Pharmacist
- Hickory, NC
- NPI 1154406395
-
- Pharmacist
- Hickory, NC
- NPI 1891876488
-
- Pharmacist
- Hickory, NC
- NPI 1093897399
-
- Pharmacist
- Hickory, NC
- NPI 1528441748
-
- Pharmacist
- Hickory, NC
- NPI 1225385982
-
- Pharmacist
- Conover, NC
- NPI 1457757569
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
- Matthew McLean Means, PHARMD
- William McLean Means, RPH
- Measured Dose Pharmacy Inc (Waters Wellness Compounding Pharmacy)
- Measured Dose Pharmacy Inc (The Compounding Pharmacy Infusion Services)
- Korsica Lassiter Mebane, MD
- Medical Center Pharmacy Inc of Hickory
- Medical Services of America Inc (Medi Home Care)
- Kellie Medley, LCMHC
- Haleigh Medlin, COTA/L, BT
- John Harvey Meier, M.D.
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.