Medical Park Pharmacy, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

4342 Issued in NC

Legal business name

MEDICAL PARK PHARMACY, INC

Practice address

301 Penny LN
Morehead City, NC 28557-4307

Phone

(252) 726-0777

Fax

(252) 726-6497

NPI assigned

Oct 6, 2010

Organization subpart

No

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

Authorized official

Name

Robert M Williams Jr., RPHNPI 1336355288

Title

Vice President

Phone

(252) 726-0777

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Robert Miller Williams Jr., R.PH.

  • Pharmacist
  • Morehead City, NC
  • NPI 1336355288
  Authorized official Same address or phone
• Richard Broughton Stephens, RPH

  • Pharmacist
  • Morehead City, NC
  • NPI 1457643967
  NPD

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286323200000",
    "number": "1144539388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 PENNY LN",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574307",
            "telephone_number": "252-726-0777",
            "fax_number": "252-726-6497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PENNY LN",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574307",
            "telephone_number": "252-726-0777",
            "fax_number": "252-726-6497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PARK PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-06",
        "last_updated": "2010-10-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "252-726-0777",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "4342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0165209",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa McNeill, ATC
• Catherine Klen McQuade, LCSW
• Danielle Turner Mead, LMFT
• Meadows Lutcavage Smith Vinton Fidler Long & Armstrong PA
• Medical Park Pharmacy West
• Medical Supplies Etc Inc (Medical Supplies Etc)
• Medical Transport Solutions Inc
• Frieda M Menzer, MD
• Dana Mercer
• Nita T Mercer, FNP

• Pharmacy in Morehead City, NC
• Providers in Morehead City, NC by specialty
• Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; 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.