Otway Pharmacy Partners, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

10675 Issued in NC

Legal business name

OTWAY PHARMACY PARTNERS, INC

Doing business as

Express Care Pharmacy

Practice address

708 Highway 70 East - Otway
Beaufort, NC 28516

Phone

(252) 717-9356

Fax

(252) 946-2095

NPI assigned

Dec 13, 2010

Last updated

Dec 13, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christy O Poythress, PHARM.D.

Title

Manager/Owner

Phone

(252) 717-9356

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Express Care Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

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.

• Richard H. Grossheim, RPH

  • Pharmacist
  • Beaufort, NC
  • NPI 1467683441
  NPD (past)
• Kelley Childress Wagoner, PHARM.D., R.PH.

  • Pharmacist
  • Beaufort, NC
  • NPI 1568799039
  NPD (past)

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1184927162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 HIGHWAY 70 EAST - OTWAY",
            "city": "BEAUFORT",
            "state": "NC",
            "postal_code": "28516",
            "telephone_number": "252-717-9356",
            "fax_number": "252-946-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 HIGHWAY 70 EAST - OTWAY",
            "city": "BEAUFORT",
            "state": "NC",
            "postal_code": "28516",
            "telephone_number": "252-717-9356",
            "fax_number": "252-946-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTWAY PHARMACY PARTNERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "POYTHRESS",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "252-717-9356",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "10675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF PHARMACY PERMIT",
            "identifier": "10675",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North River Primecare PC
• North River Primecare PC
• Skyler Lagcher O'Brien
• Open Water Medical, PA (East Carteret Family Medicine)
• William Jack Orton Sr., PA C
• Otway Volunteer Fire Department Incorporated
• Patrick Austin Patterson, O.D.
• Alina Vallecillo Peters, DDS
• Thomas Phinizy, PHARMD
• Jessica Price

• Community/Retail Pharmacy in Beaufort, NC
• Providers in Beaufort, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.