Organization Active NPI

Huie Pharmacy, LLC

Doing business as Brame Huie Pharmacy

  • Pharmacy
  • N Wilkesboro, NC
National Provider Identifier
1124115324
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
HUIE PHARMACY, LLC
Doing business as
Brame Huie Pharmacy
Practice address
1920 W Park Dr
N Wilkesboro, NC 28659
Phone
(336) 838-8988
Fax
(336) 838-1711
NPI assigned
Oct 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Authorized official

Name
Cathy Huffman Huie, PHARMD
Title
Member
Phone
(336) 838-8988

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X 09144 NC
Compounding Pharmacy 3336C0004X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

1920 W Park Dr
N Wilkesboro, NC 28659

Mailing address

1920 W Park Dr
N Wilkesboro, NC 28659-3563
Phone (336) 838-8988

Other identifiers 2

IdentifierTypeStateIssuer
0975432MedicaidNC
2065473OtherPK

Other names 1

  • Brame Huie Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171213000396 NC DME Supplier - Pharmacy 6608134036 Practice locations: North Wilkesboro, NC
O20180328002181 NC Part B Supplier - Mass Immunization (Roster Biller Only) 6608134036 Practice locations: North Wilkesboro, NC

National Provider Directory

National Provider Directory
Tax ID family
Huie Pharmacy LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530576000000",
    "number": "1124115324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 W PARK DR",
            "city": "N WILKESBORO",
            "state": "NC",
            "postal_code": "286593563",
            "telephone_number": "336-838-8988",
            "fax_number": "336-838-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 W PARK DR",
            "city": "N WILKESBORO",
            "state": "NC",
            "postal_code": "28659",
            "telephone_number": "336-838-8988",
            "fax_number": "336-838-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUIE PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2018-07-03",
        "status": "A",
        "authorized_official_last_name": "HUIE",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "HUFFMAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "336-838-8988",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "09144",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0975432",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2065473",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brame Huie Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in N Wilkesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.