Organization Active NPI

Growing Child Office Meds Inc

  • Community/Retail Pharmacy
  • Wake Forest, NC
National Provider Identifier
1073827481
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
10569 Issued in NC
Legal business name
GROWING CHILD OFFICE MEDS INC
Practice address
11130 Capital Blvd
Wake Forest, NC 27587-4513
Phone
(919) 488-4094
Fax
(919) 488-4096
NPI assigned
Jul 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Authorized official

Name
Tony Gurley
Title
Pharmacy Manager
Phone
(919) 215-0240

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X 10569 NC Primary

Addresses

Primary practice location

11130 Capital Blvd
Wake Forest, NC 27587-4513

Mailing address

PO Box 90804
Raleigh, NC 27675-0804
Phone (919) 215-0240

Other identifiers 1

IdentifierTypeStateIssuer
3420584OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Growing Child Office Meds Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Growing Child Office Meds Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1073827481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90804",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276750804",
            "telephone_number": "919-215-0240",
            "fax_number": "919-865-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11130 CAPITAL BLVD",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874513",
            "telephone_number": "919-488-4094",
            "fax_number": "919-488-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING CHILD OFFICE MEDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "GURLEY",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "919-215-0240"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "10569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3420584",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Growing Child Office Meds",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.