NPIMap

Organization Active NPI

County of Robeson

  • Community/Retail Pharmacy
  • Lumberton, NC
National Provider Identifier
1033422266
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
10596 Issued in NC
Legal business name
COUNTY OF ROBESON
Practice address
113 W 8TH St
Lumberton, NC 28358-4841
Phone
(910) 272-5115
Fax
(910) 272-5114
NPI assigned
Jul 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Authorized official

Name
Robert RevelsNPI 1548667322
Title
Pharmacy Manager
Phone
(910) 272-5115

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X 10596 NC Primary

Addresses

Primary practice location

113 W 8TH St
Lumberton, NC 28358-4841

Mailing address

113 W 8TH St
Lumberton, NC 28358-4841
Phone (910) 272-5115

Other identifiers 2

IdentifierTypeStateIssuer
2125862OtherPK
0785833MedicaidNC

Other names 1

  • RCMED PHARMACY Other name

National Provider Directory

National Provider Directory
Tax ID family
Robeson Co Health Dept11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

108 W 8th St
Lumberton, NC 28358
Phone (910) 272-5115

113 W 8th St
Lumberton, NC 28358
Phone (910) 272-5115

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1033422266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W 8TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283584841",
            "telephone_number": "910-272-5115",
            "fax_number": "910-272-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W 8TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283584841",
            "telephone_number": "910-272-5115",
            "fax_number": "910-272-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF ROBESON",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "REVELS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "910-272-5115"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "10596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2125862",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0785833",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RCMed Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RCMED PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.