Active NPI
Family Care Pharmacy, Inc
- Community/Retail Pharmacy
- Hertford, NC
National Provider Identifier
1144285578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 08332
- Legal business name
- FAMILY CARE PHARMACY, INC
- Doing business as
- FAMILY CARE PHARMACY
- Practice address
- 606 S Church St
Hertford, NC 27944-1205 - Phone
- (252) 426-2214
- Fax
- (252) 426-3017
- NPI assigned
- Apr 19, 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
- Dabney Scaff
- Title
- Owner
- Phone
- (252) 426-2214
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13626 | NC | |
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 08332 | NC | Primary |
Addresses
Primary practice location
606 S Church St
Hertford, NC 27944-1205
Mailing address
PO Box 88
Hertford, NC 27944-0088
Phone (252) 426-2214
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2071151 | Other | PK | |
| 0725028 | Medicaid | NC |
Other names 1
- FAMILY CARE PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170905000670 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 2163542101 | Practice locations: Hertford, NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1510531200000",
"number": "1144285578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 88",
"city": "HERTFORD",
"state": "NC",
"postal_code": "279440088",
"telephone_number": "252-426-2214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 S CHURCH ST",
"city": "HERTFORD",
"state": "NC",
"postal_code": "279441205",
"telephone_number": "252-426-2214",
"fax_number": "252-426-3017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY CARE PHARMACY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-19",
"last_updated": "2017-11-13",
"status": "A",
"authorized_official_last_name": "SCAFF",
"authorized_official_first_name": "DABNEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "252-426-2214"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "NC",
"license": "13626",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NC",
"license": "08332",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2071151",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0725028",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FAMILY CARE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Hertford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.