Organization Active NPI

Beam & Chapman Inc

  • Community/Retail Pharmacy
  • Statesville, NC
National Provider Identifier
1073535647
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
05229 Issued in NC
Legal business name
BEAM & CHAPMAN INC
Practice address
430 Western Ave
Statesville, NC 28677-5730
Phone
(704) 873-7612
Fax
(704) 872-8037
NPI assigned
Jul 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Authorized official

Name
Kenneth Chapmkan, RPH
Title
VP
Phone
(704) 873-7612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 05229 NC Primary

Addresses

Primary practice location

430 Western Ave
Statesville, NC 28677-5730

Mailing address

430 Western Ave
Statesville, NC 28677-5730
Phone (704) 873-7612

Other identifiers 2

IdentifierTypeStateIssuer
2067403OtherPK
0498042MedicaidNC

Other names 1

  • SOUTHSIDE DRUG COMPANY Doing business as

National Provider Directory

National Provider Directory

Locations

430 Western Ave
Statesville, NC 28677
Phone (704) 873-7612

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": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1073535647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 WESTERN AVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775730",
            "telephone_number": "704-873-7612",
            "fax_number": "704-872-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 WESTERN AVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775730",
            "telephone_number": "704-873-7612",
            "fax_number": "704-872-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAM & CHAPMAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "CHAPMKAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "704-873-7612",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "05229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2067403",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0498042",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHSIDE DRUG COMPANY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.