Pembroke Drug Center, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

332BX2000X Issued in NC

Legal business name

PEMBROKE DRUG CENTER, INC.

Practice address

209 W. 3Rd St
Pembroke, NC 28372-1030

Phone

(910) 522-0009

Fax

(910) 521-5654

NPI assigned

Sep 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Brooks

Title

President

Phone

(910) 522-0001

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Healthkeeperz Doing business as

Tax ID family

Health Keeperz HME2 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.

• Pembroke Drug Center

  • Oxygen Equipment & Supplies (DME)
  • Conway, SC
  • NPI 1851624068
  NPD tax ID

Locations

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154425569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W. 3RD ST",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283721030",
            "telephone_number": "910-522-0009",
            "fax_number": "910-521-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W. 3RD ST",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283721030",
            "telephone_number": "910-522-0009",
            "fax_number": "910-521-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEMBROKE DRUG CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-522-0001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NC",
            "license": "332BX2000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703307",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthkeeperz",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peace of Mind Heal Care Services, Inc.
• Peace of Mind Residential and Community Services Inc
• Pembroke Center for Wellness, Inc
• Pembroke Center for Wellness, Inc
• Pembroke Drug Center
• Pembroke Drug Center, Inc.
• Pembroke Drug Holdings, LLC
• Pembroke Drug Holdings, LLC
• Pembroke Medical Center, Inc.
• Pembroke Optometric Clinic PA

• Oxygen Equipment & Supplies (DME) in Pembroke, NC
• Providers in Pembroke, NC by specialty
• Oxygen Equipment & Supplies (DME) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.