NPIMap

Organization Active NPI

Websters Pharmacy

Doing business as Bradys Pharmacy Inc

  • Community/Retail Pharmacy
  • Fairmont, NC
National Provider Identifier
1093757692
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
03606 Issued in NC
Legal business name
WEBSTERS PHARMACY
Doing business as
Bradys Pharmacy Inc
Practice address
214 S Main St
Fairmont, NC 28340-1904
Phone
(910) 628-6362
Fax
(910) 628-9334
NPI assigned
Jun 11, 2006
Last updated
Sep 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Authorized official

Name
Ben Brady, RPHNPI 1033592811
Title
President/ Pharmacy MGR
Phone
(910) 628-6362

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 03606 NC Primary

Addresses

Primary practice location

214 S Main St
Fairmont, NC 28340-1904

Mailing address

PO Box 741
Fairmont, NC 28340-0741

Other identifiers 2

IdentifierTypeStateIssuer
0785295MedicaidNC
3405998OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • BRADYS PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1093757692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741",
            "city": "FAIRMONT",
            "state": "NC",
            "postal_code": "283400741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S MAIN ST",
            "city": "FAIRMONT",
            "state": "NC",
            "postal_code": "283401904",
            "telephone_number": "910-628-6362",
            "fax_number": "910-628-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBSTERS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "PRESIDENT/ PHARMACY MGR",
        "authorized_official_telephone_number": "910-628-6362",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "03606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0785295",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3405998",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRADYS PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairmont, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.