NPIMap

Organization Active NPI

Medical Center Pharmacy of Wilmington, Inc.

  • Compounding Pharmacy
  • Wilmington, NC
National Provider Identifier
1194025817
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
05247 Issued in NC
Legal business name
MEDICAL CENTER PHARMACY OF WILMINGTON, INC.
Practice address
912 S 16TH St
Wilmington, NC 28401-8016
Phone
(910) 763-1896
Fax
(910) 763-1709
NPI assigned
Oct 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Authorized official

Name
Mr. Henry Herring Jr.NPI 1053312124
Title
Pharmacist/President
Phone
(910) 763-1896

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X 05247 NC Primary

Addresses

Primary practice location

912 S 16TH St
Wilmington, NC 28401-8016

Mailing address

912 S 16TH St
Wilmington, NC 28401-8016
Phone (910) 763-1896

Other identifiers 1

IdentifierTypeStateIssuer
0655753MedicaidNC

Other names 1

  • Medical Center Pharmacy Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1194025817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 S 16TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284018016",
            "telephone_number": "910-763-1896",
            "fax_number": "910-763-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 S 16TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284018016",
            "telephone_number": "910-763-1896",
            "fax_number": "910-763-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER PHARMACY OF WILMINGTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "HERRING",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PHARMACIST/PRESIDENT",
        "authorized_official_telephone_number": "910-763-1896",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NC",
            "license": "05247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0655753",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Center Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.