Corolla Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

7582 Issued in NC

Legal business name

COROLLA PHARMACY INC

Practice address

532 A Caratoke Hwy
Moyock, NC 27958

Phone

(252) 232-0278

Fax

(252) 435-4063

NPI assigned

Sep 20, 2006

Organization subpart

No

Name

William Owens, RPH

Title

Pres/Owner

Phone

(252) 335-2901

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan L Tatum, PHARMD

  • Pharmacist
  • Moyock, NC
  • NPI 1598039018
  NPD (past)

• Todd's Pharmacy of Currituck Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 18, 2016.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1154428092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520",
            "city": "MOYOCK",
            "state": "NC",
            "postal_code": "279580520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 A CARATOKE HWY",
            "city": "MOYOCK",
            "state": "NC",
            "postal_code": "27958",
            "telephone_number": "252-232-0278",
            "fax_number": "252-435-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COROLLA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRES/OWNER",
        "authorized_official_telephone_number": "252-335-2901",
        "authorized_official_credential": "RPH"
    },
    "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": "7582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2068632",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0275073",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Todd's Pharmacy of Currituck",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Coats
• David A Collins, LCSW, LCAS
• Jennifer Convento
• Chelsea Coombs
• Brittany Renee Cornell
• Corolla Pharmacy, Inc
• Jennifer Correll
• Nikita Crawford
• Courtney Croker
• Zhaakira Cuff

• All providers in Moyock, NC
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.