Two Rivers Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

TWO RIVERS PHARMACY INC

Practice address

101 Broadfoot Ave
Fayetteville, NC 28305-5001

Phone

(910) 748-0243

Fax

(910) 748-0245

NPI assigned

Feb 22, 2024

Organization subpart

No

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

Authorized official

Name

James Deese

Title

President/Pharmacist

Phone

(910) 748-0243

Specialties & licenses 1

Addresses

Tax ID family

Two Rivers Pharmacy2 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.

• Two Rivers Pharmacy Inc

  • Community/Retail Pharmacy
  • Fayetteville, NC
  • NPI 1891160008
  NPD tax ID

Locations

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1083470520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BROADFOOT AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055001",
            "telephone_number": "910-748-0243",
            "fax_number": "910-748-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BROADFOOT AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055001",
            "telephone_number": "910-748-0243",
            "fax_number": "910-748-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO RIVERS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "DEESE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "910-748-0243"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Tutman
• David A Tuton, PAC
• Benjamin Josiah Tutterow
• Matthew Calvert Tuttle, PT DPT
• Robert William Twaddell, D.C.
• Two Rivers Pharmacy Inc
• Annette Tyler Humphrey
• Amber Tyler
• Indira Tyler
• Linda Carol Tyler, FNP-C

• Long Term Care Pharmacy in Fayetteville, NC
• Providers in Fayetteville, 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 Feb 23, 2024; 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.