NPIMap

Organization Active NPI

Futrell Pharmacy Service Inc

  • Community/Retail Pharmacy
  • Jackson, NC
National Provider Identifier
1144313578
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
03288 Issued in NC
Legal business name
FUTRELL PHARMACY SERVICE INC
Doing business as
Futrell Pharmacy Service Inc
Practice address
119 W Jefferson St
Jackson, NC 27845-9599
Phone
(252) 534-6001
Fax
(252) 534-1906
NPI assigned
Sep 30, 2006
Last updated
May 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
William R Futrell Jr.NPI 1578873212
Title
Pharmacist Owner
Phone
(252) 534-6001

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 03288 NC Primary

Addresses

Primary practice location

119 W Jefferson St
Jackson, NC 27845-9599

Mailing address

PO Box 768
Jackson, NC 27845-0768

Other identifiers 4

IdentifierTypeStateIssuer
7700136MedicaidNC
2068035OtherPK
665083MedicaidNC
0463790001MedicaidNC

Other names 1

  • Futrell Pharmacy Service Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930096528 NC DME Supplier - Pharmacy 5395863567 Practice locations: Jackson, NC
O20110105000894 NC Part B Supplier - Mass Immunization (Roster Biller Only) 5395863567 3 other NPIs on this enrollment
Practice locations: Jackson, NC; Littleton, NC; Rich Square, NC; Warrenton, NC
O20211216000675 NC Part B Supplier - Independent Clinical Laboratory 5395863567 Practice locations: Jackson, NC

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Futrell Pharmacy Service Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

119 W Jefferson St
Jackson, NC 27845
Phone (252) 534-6001

9435 NC Highway 305
Jackson, NC 27845
Phone (252) 534-6001

123 E South Main St
Littleton, NC 27850
Phone (252) 586-3414

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1144313578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 768",
            "city": "JACKSON",
            "state": "NC",
            "postal_code": "278450768",
            "fax_number": "252-534-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W JEFFERSON ST",
            "city": "JACKSON",
            "state": "NC",
            "postal_code": "278459599",
            "telephone_number": "252-534-6001",
            "fax_number": "252-534-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUTRELL PHARMACY SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "FUTRELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "252-534-6001",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "03288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7700136",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2068035",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "665083",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0463790001",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Futrell Pharmacy Service Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.