NPIMap

Organization Active NPI

New Massey Hill Pharmacy LLC

Doing business as Massey Hill Drug Co.

  • Community/Retail Pharmacy
  • Fayetteville, NC
National Provider Identifier
1174650998
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
10320 Issued in NC
Legal business name
NEW MASSEY HILL PHARMACY LLC
Doing business as
Massey Hill Drug Co.
Practice address
1072 Southern Ave
Fayetteville, NC 28306-1766
Phone
(910) 484-0150
Fax
(910) 484-3270
NPI assigned
Feb 28, 2007
Last updated
Aug 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Authorized official

Name
Mr. Sridhar Gottipati, RPHNPI 1720460017
Title
Pharmacist Owner
Phone
(910) 484-0159

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 10320 NC Primary

Addresses

Primary practice location

1072 Southern Ave
Fayetteville, NC 28306-1766

Mailing address

1072 Southern Ave
Fayetteville, NC 28306-1766
Phone (910) 484-0150

Other identifiers 2

IdentifierTypeStateIssuer
0267534MedicaidNC
3406091OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Massey Hill Drug Co. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1174650998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 SOUTHERN AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283061766",
            "telephone_number": "910-484-0150",
            "fax_number": "910-484-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 SOUTHERN AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283061766",
            "telephone_number": "910-484-0150",
            "fax_number": "910-484-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MASSEY HILL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "GOTTIPATI",
        "authorized_official_first_name": "SRIDHAR",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "910-484-0159",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "10320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0267534",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3406091",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Massey Hill Drug Co.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.