NPIMap

Organization Active NPI

Rowland Old Main, Inc.

  • Long Term Care Pharmacy
  • Pembroke, NC
National Provider Identifier
1154040251
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ROWLAND OLD MAIN, INC.
Practice address
407 W 3Rd St
Pembroke, NC 28372-7977
Phone
(105) 215-6009
Fax
(910) 521-1906
NPI assigned
Aug 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Amber Locklear
Title
President
Phone
(910) 521-5600

Specialties & licenses 1

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

Addresses

Primary practice location

407 W 3Rd St
Pembroke, NC 28372-7977

Mailing address

PO Box 2639
Pembroke, NC 28372-2639
Phone (105) 215-6009

Other names 1

  • Old Main Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Old Main Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1154040251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2639",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283722639",
            "telephone_number": "105-215-6009",
            "fax_number": "910-521-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W 3RD ST",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727977",
            "telephone_number": "105-215-6009",
            "fax_number": "910-521-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROWLAND OLD MAIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "LOCKLEAR",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-521-5600"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Old Main Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pembroke, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.