Organization Active NPI

Brightstar Health Corp

  • Long Term Care Pharmacy
  • Fayetteville, NC
National Provider Identifier
1114483559
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
BRIGHTSTAR HEALTH CORP
Practice address
5515 Waldos Beach Rd
Fayetteville, NC 28306-5505
Phone
(910) 491-1090
NPI assigned
Feb 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Authorized official

Name
Derek Oteng BoatengNPI 1235466251
Title
Owner Pharmacist
Phone
(910) 491-1090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

5515 Waldos Beach Rd
Fayetteville, NC 28306-5505

Mailing address

5515 Waldos Beach Rd
Fayetteville, NC 28306-5505
Phone (910) 491-1090

Other names 1

  • Health Matters Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

5515 Waldos Beach Rd
Fayetteville, NC 28306
Phone (910) 491-1090

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549843200000",
    "number": "1114483559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5515 WALDOS BEACH RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283065505",
            "telephone_number": "910-491-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5515 WALDOS BEACH RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283065505",
            "telephone_number": "910-491-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSTAR HEALTH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-11",
        "status": "A",
        "authorized_official_last_name": "BOATENG",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "OTENG",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "910-491-1090"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Matters Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.