Red Springs Old Main, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

RED SPRINGS OLD MAIN, INC

Practice address

300 S. Main Street
Red Srpings, NC 28377

Phone

(910) 227-2425

Fax

(910) 227-2517

NPI assigned

Jun 3, 2016

Last updated

Dec 14, 2016By 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

Amber LocklearNPI 1750900072

Title

Owner/President

Phone

(910) 521-5600

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amber Locklear

  • Pharmacist
  • Red Springs, NC
  • NPI 1750900072
  NPD Authorized official
• Lauren Lockhart, PHARM.D.

  • Pharmacist
  • Fayetteville, NC
  • NPI 1013539501
  NPD (past)

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1073962718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S. MAIN STREET",
            "city": "RED SPRINGS",
            "state": "NC",
            "postal_code": "28377",
            "telephone_number": "910-227-2425",
            "fax_number": "910-227-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S. MAIN STREET",
            "city": "RED SRPINGS",
            "state": "NC",
            "postal_code": "28377",
            "telephone_number": "910-227-2425",
            "fax_number": "910-227-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED SPRINGS OLD MAIN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "LOCKLEAR",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "910-521-5600"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.