Ricetta RX North Carolina LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

09308 Issued in NC

Legal business name

RICETTA RX NORTH CAROLINA LLC

Doing business as

Southern Pharmacy Services

Practice address

4459 Tarheel Drive
Pink Hill, NC 28572

Phone

(252) 568-9945

NPI assigned

Oct 2, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chad Terry, PHARMD

Title

Manager

Phone

(252) 568-9945

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Southern Pharmacy Services Doing business as

Tax ID family

Ricetta RX North Carolina LLC2 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.

• Ricetta RX North Carolina, LLC

  dba Southern Pharmacy Services

  • Long Term Care Pharmacy
  • Pink Hill, NC
  • NPI 1326120296
  NPD tax ID

Locations

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1063505774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4459 TARHEEL DRIVE",
            "city": "PINK HILL",
            "state": "NC",
            "postal_code": "28572",
            "telephone_number": "252-568-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4459 TARHEEL DRIVE",
            "city": "PINK HILL",
            "state": "NC",
            "postal_code": "28572",
            "telephone_number": "252-568-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICETTA RX NORTH CAROLINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "252-568-9945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NC",
            "license": "09308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3440891",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0545624",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Pharmacy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Carolina Recovery Network
• Pink Hill Chiropractic, PA
• Pink Hill Pharmacy Inc
• Realo Discount Drug Stores of Pink Hill, Inc.
• Realo Discount Drug Stores of Pink Hill, Inc.
• Ricetta RX North Carolina, LLC (Southern Pharmacy Services)
• Chrystal T Rooks, D.D.S.
• Michaela Russ, RN, IBCLC
• Southerm Medical and Equipment Sales, L.P.
• Southern Associates of the Carolinas, Inc (Southern Pharmacy Services)

• Long Term Care Pharmacy in Pink Hill, NC
• Providers in Pink Hill, NC by specialty
• Long Term Care Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.