Person Street Pharmacy of Raleigh, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

03305 Issued in NC

Legal business name

PERSON STREET PHARMACY OF RALEIGH, INC.

Practice address

702 N Person St
Raleigh, NC 27604-1216

Phone

(919) 832-6432

Fax

(919) 833-7581

NPI assigned

Mar 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Forrest Mike James, RPH

Title

President/Pharmacist

Phone

(919) 832-6432

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1053372342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 N PERSON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041216",
            "telephone_number": "919-832-6432",
            "fax_number": "919-833-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N PERSON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041216",
            "telephone_number": "919-832-6432",
            "fax_number": "919-833-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSON STREET PHARMACY OF RALEIGH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "FORREST",
        "authorized_official_middle_name": "MIKE",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "919-832-6432",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "03305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0925149",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Alexander Perry III, LCAS-A
• Marguerite Perryman Perryman
• Mahogany Persip
• Person First Counseling Services PLLC
• Person Street Pharmacy LLC
• Latoya Nicole Person, MS
• Maryam Person, ITFS
• Tyshay Person
• Matthew Persons, D.C.
• Perspective Counseling, PLLC

• Pharmacy in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.