Active NPI
Hampstead Family Pharmacy
- Pharmacy
- Hampstead, NC
National Provider Identifier
1104909142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 08083
- Legal business name
- HAMPSTEAD FAMILY PHARMACY
- Practice address
- 15489 Hwy 17 N
Unit 2
Hampstead, NC 28443 - Phone
- (910) 270-1077
- Fax
- (910) 270-2711
- NPI assigned
- Oct 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ann Wilson
- Title
- Phcy Manager
- Phone
- (910) 270-1077
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 7703557 | NC | |
| Pharmacy | 333600000X | 08083 | NC | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
15489 Hwy 17 N
Unit 2
Hampstead, NC 28443
Mailing address
15489 Hwy 17 N
Unit 2
Hampstead, NC 28443
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08083 | Other | NC | PHARMACY LIC |
| 3438872 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 0715242 | Medicaid | NC | |
| 7703557 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
15489 US Highway 17
Unit 2
Hampstead, NC 28443
Phone (910) 270-1077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213315200000",
"number": "1104909142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15489 HWY 17 N",
"address_2": "UNIT 2",
"city": "HAMPSTEAD",
"state": "NC",
"postal_code": "28443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15489 HWY 17 N",
"address_2": "UNIT 2",
"city": "HAMPSTEAD",
"state": "NC",
"postal_code": "28443",
"telephone_number": "910-270-1077",
"fax_number": "910-270-2711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAMPSTEAD FAMILY PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-23",
"last_updated": "2008-06-13",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "ANN",
"authorized_official_title_or_position": "PHCY MANAGER",
"authorized_official_telephone_number": "910-270-1077"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NC",
"license": "7703557",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NC",
"license": "08083",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LIC",
"identifier": "08083",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "3438872",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0715242",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7703557",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hampstead, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.