Active NPI
Crystal Coast Pharmacy
Doing business as Crystal Coast Pharmacy & Home Medical
- Pharmacist
- Cape Carteret, NC
National Provider Identifier
1063478774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8305
- Legal business name
- CRYSTAL COAST PHARMACY
- Doing business as
- Crystal Coast Pharmacy & Home Medical
- Practice address
- 319 WB McLean Blvd
Cape Carteret, NC 28584-8516 - Phone
- (252) 393-3345
- Fax
- (252) 393-3346
- NPI assigned
- Apr 21, 2006
- Last updated
- Aug 22, 2020
- 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
- Mr. Jeff Albritton, RPH
- Title
- Owner
- Phone
- (252) 393-3345
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8305 | NC | Primary |
Addresses
Primary practice location
319 WB McLean Blvd
Cape Carteret, NC 28584-8516
Mailing address
319 WB McLean Blvd
Cape Carteret, NC 28584-8516
Phone (252) 393-3345
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046U8 | Other | NC | BLUE CROSS BLUE SHIELD |
| 7704096 | Medicaid | NC |
Other names 1
- Crystal Coast Pharmacy & Home Medical
National Provider Directory
National Provider DirectoryLocations
319 Wb McLean Dr
Cape Carteret, NC 28584
Phone (252) 393-3345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1063478774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 WB MCLEAN BLVD",
"city": "CAPE CARTERET",
"state": "NC",
"postal_code": "285848516",
"telephone_number": "252-393-3345",
"fax_number": "252-393-3346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 WB MCLEAN BLVD",
"city": "CAPE CARTERET",
"state": "NC",
"postal_code": "285848516",
"telephone_number": "252-393-3345",
"fax_number": "252-393-3346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRYSTAL COAST PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ALBRITTON",
"authorized_official_first_name": "JEFF",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "252-393-3345",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "NC",
"license": "8305",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "046U8",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7704096",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Crystal Coast Pharmacy & Home Medical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cape Carteret, NC
- Carolina Health & Fitness, LLC (Cape Carteret Physical Therapy)
- Carolinaeast Physicians
- Carteret Chiropractic and Family Wellness
- Crystal Coast Cosmetic Care ENT Surgical Services, PLLC
- Crystal Coast Dentistry
- Linda Marie Doering, O.D.
- Eastern Carolina Internal Medicine PA
- Becky J Fields, M.A.
- Denise M Gallagher, DO
- Stormy Suzanne Gilbert, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.