Professional Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

07896 Issued in NC

Legal business name

PROFESSIONAL PHARMACY INC

Practice address

139 1/2 E College Ave
Boiling Springs, NC 28017-1168

Phone

(704) 434-9897

NPI assigned

May 15, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Edward V Beam, RPH

Title

Owner

Phone

(704) 487-8068

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Professional Pharmacy Doing business as

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318636800000",
    "number": "1073564928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1168",
            "city": "BOILING SPRINGS",
            "state": "NC",
            "postal_code": "280171168",
            "telephone_number": "704-434-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 1/2 E COLLEGE AVE",
            "city": "BOILING SPRINGS",
            "state": "NC",
            "postal_code": "280171168",
            "telephone_number": "704-434-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2011-10-15",
        "status": "A",
        "authorized_official_last_name": "BEAM",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-487-8068",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "07896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703606",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Miles, LAT, ATC
• Jon Thomas Mitchell, ATC
• Micah Moulder
• Eric Joseph Newton, LAT, ATC
• Leira Phillips
• Raquel Coias Rubin, PA-S
• Rutherford Hospital Inc
• Brooke Weatherford Smithers, RN, MSN
• Kristen Elisabeth Stewart
• Logan Elizabeth Turner, PA-C

• Community/Retail Pharmacy in Boiling Springs, NC
• Providers in Boiling Springs, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; 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.