Biscoe Pharmacy, Inc.
Organization Active NPI Community/Retail Pharmacy · Biscoe, NC
NPI 1093035933 · NPPES record last updated Jun 2, 2010
Key facts
- NPI
- 1093035933
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- BISCOE PHARMACY, INC.
- Practice address
- 2295 NC Highway 24/27 East
Biscoe, NC 27209-0249 - Phone
- (910) 638-8408
- NPI assigned
- Jun 2, 2010
- Organization subpart
- No
Authorized official
- Name
- Mrs. Karen Chavis Clark
- Title
- President
- Phone
- (910) 638-8408
Practitioners 1
-
Karen Chavis Clark, RPH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191024002561 | NC | DME Supplier - Pharmacy | 2163754110 | Practice locations: Biscoe, NC |
| O20210811000196 | NC | Part B Supplier - Pharmacy | 2163754110 | Practice locations: Biscoe, NC |
National Provider Directory
Locations
2295 NC Highway 24 27 E
Biscoe, NC 27209
Phone (910) 428-1150
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
2295 NC Highway 24/27 East
Biscoe, NC 27209-0249
Mailing address
PO Box 249
Biscoe, NC 27209-0249
Phone (910) 638-8408
Other providers in Biscoe, NC
- Jolena B Allred
- Alexis R Anthony
- Autumn Care of Biscoe, LLC
- Autumn Corporation
- Autumn Corporation
- Aimee Jean Blake
- Stuart Briggs
- Jasmine Broadway
- Rachel Saunders Bruce
- David Nelson Buckland
All providers in Biscoe, NC · Community/Retail Pharmacy in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.