Prescription Shoppe of Aberdeen LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

10882 Issued in NC

Legal business name

PRESCRIPTION SHOPPE OF ABERDEEN LLC

Doing business as

Aberdeen Prescription Shoppe

Practice address

1389 N Sandhills Blvd
Aberdeen, NC 28315-2211

Phone

(910) 944-1313

Fax

(910) 944-1153

NPI assigned

May 1, 2008

Last updated

Feb 20, 2017By 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

Mary Love McBryde, PHARMACIST

Title

Pharmacist

Phone

(910) 944-1313

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Aberdeen Prescription Shoppe Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

Medicare medical equipment & supply locations

Locations

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.

• Mary Love McBryde, PHARM.D.

  • Pharmacist
  • Aberdeen, NC
  • NPI 1679738306
  NPD (past)

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1114193943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1389 N SANDHILLS BLVD",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283152211",
            "telephone_number": "910-944-1313",
            "fax_number": "910-944-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1389 N SANDHILLS BLVD",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283152211",
            "telephone_number": "910-944-1313",
            "fax_number": "910-944-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCRIPTION SHOPPE OF ABERDEEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "MCBRYDE",
        "authorized_official_first_name": "MARY LOVE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "910-944-1313",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "10882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0635740",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2128778",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aberdeen Prescription Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pinetree Community Services, Inc.
• Pinetree Community Services, Inc.
• Pinetree Community Services, Inc.
• Port Health Services
• Jackie Posvar, PA-C
• Primary & Immediate Care of the Pines, LLC
• Program Resource Institute, Inc.
• Program Resource Institute, Inc.
• Program Resource Institute, Inc.
• Program Resource Institute, Inc.

• Community/Retail Pharmacy in Aberdeen, NC
• Providers in Aberdeen, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.