NPIMap

Organization Active NPI

Rex Hospital, Inc

Doing business as Rex Pharmacy of Raleigh

  • Pharmacy
  • Raleigh, NC
National Provider Identifier
1174624803
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
07039 Issued in NC
Legal business name
REX HOSPITAL, INC
Doing business as
Rex Pharmacy of Raleigh
Practice address
4420 Lake Boone TRL
Raleigh, NC 27607-7505
Phone
(919) 784-3242
Fax
(919) 784-3908
NPI assigned
Sep 26, 2006
Last updated
Jun 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Mr. Benjamin James Mathew
Title
Cfo
Phone
(919) 784-1440

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 07039 NC Primary
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

4420 Lake Boone TRL
Raleigh, NC 27607-7505

Mailing address

4420 Lake Boone TRL
Raleigh, NC 27607-7505
Phone (919) 784-3242

Other identifiers 2

IdentifierTypeStateIssuer
0929942MedicaidNC
3435105OtherNABP

Other names 1

  • Rex Pharmacy of Raleigh Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250905000757 NC Part B Supplier - Mass Immunization (Roster Biller Only) 0840109864 Practice locations: Raleigh, NC

Other NPIs with the same Medicare PAC ID 6

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

National Provider Directory

National Provider Directory
Tax ID family
Rex Urgent Care of Cary16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 49)

150 Parkway Office Ct
Ste 200
Cary, NC 27518
Phone (984) 974-1483

1505 SW Cary Pkwy
Cary, NC 27511
Phone (919) 387-3140

1505 SW Cary Pkwy
Ste 202
Cary, NC 27511
Phone (919) 249-5087

1515 SW Cary Pkwy
Cary, NC 27511
Phone (919) 387-3170

1515 SW Cary Pkwy
Ste 150
Cary, NC 27511
Phone (919) 387-0080

1515 SW Cary Pkwy
Ste 263
Cary, NC 27511
Phone (919) 387-3140

300 Ashville Ave
Ste 240
Cary, NC 27518
Phone (919) 415-1793

6715 McCrimmon Pkwy
Ste 203
Cary, NC 27519
Phone (984) 215-6370

1830 Fordham Blvd
Ste 100
Chapel Hill, NC 27514
Phone (919) 364-3312

1820 Veterans Pkwy
Ste 100
Clayton, NC 27520
Phone (919) 336-0216

1820 Veterans Pkwy
Ste 102
Clayton, NC 27520

920 S Lombard St
#100
Clayton, NC 27520

1400 Timber Dr E
Garner, NC 27529
Phone (919) 661-2085

1400 Timber Dr E
Ste 214
Garner, NC 27529
Phone (919) 661-2482

300 Health Park Dr
Ste 200
Garner, NC 27529
Phone (919) 250-2260

400 Health Park Dr
#100
Garner, NC 27529
Phone (984) 215-5030

6602 Knightdale Blvd
Ste 100
Knightdale, NC 27545
Phone (919) 747-5365

11200 Galleria Ave
Raleigh, NC 27614
Phone (919) 570-1511

11200 Governor Manly Way
Rm 1245
Raleigh, NC 27614
Phone (919) 570-7629

11200 Governor Manly Way
Ste 104
Raleigh, NC 27614
Phone (919) 570-7690

11200 Governor Manly Way
Ste 106
Raleigh, NC 27614
Phone (919) 570-7600

11200 Governor Manly Way
Ste 112
Raleigh, NC 27614
Phone (919) 570-7640

11200 Governor Manly Way
Ste 305
Raleigh, NC 27614
Phone (919) 270-1801

11211 Galleria Ave
Ste 101
Raleigh, NC 27614
Phone (919) 567-6133

1425 Promise Beacon Cir
Ste 110
Raleigh, NC 27610
Phone (919) 228-2430

Practitioners & affiliated clinicians

Practitioners 111

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.

View all 111

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1174624803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 LAKE BOONE TRL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077505",
            "telephone_number": "919-784-3242",
            "fax_number": "919-784-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 LAKE BOONE TRL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077505",
            "telephone_number": "919-784-3242",
            "fax_number": "919-784-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REX HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "919-784-1440",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "07039",
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0929942",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3435105",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rex Pharmacy of Raleigh",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.