Pharaohs Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

11329 Issued in NC

Legal business name

PHARAOHS PHARMACY INC

Doing business as

Pharaohs Pharmacy

Practice address

2971 Crouse LN Ste a
Burlington, NC 27215-8446

Phone

(336) 270-3176

NPI assigned

Sep 19, 2012

Last updated

Mar 13, 2013By 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

Eslam Abdel Magid

Title

R.PH

Phone

(336) 681-1879

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Pharaohs Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1194075945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2971 CROUSE LN STE A",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158446",
            "telephone_number": "336-270-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2971 CROUSE LN STE A",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158446",
            "telephone_number": "336-270-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARAOHS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "ABDEL MAGID",
        "authorized_official_first_name": "ESLAM",
        "authorized_official_title_or_position": "R.PH",
        "authorized_official_telephone_number": "336-681-1879"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "11329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3460475",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharaohs Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruth Petersen, MD
• Amber Lee Peterson, LCSWA
• Jamie Jo Peterson, DDS
• Jeremy Thomas Peterson, DPT
• Samantha Cates Pexa, DPT, ATC
• Pharm-Save, Inc. (Neil Medical Group-Burlington)
• John Pharo, MSW, LCSW
• Katherine Piilani Phillips, FNP
• Linda Itzel Phillips
• Roxana Cheek Phillips, LCMHC

• Community/Retail Pharmacy in Burlington, NC
• Providers in Burlington, 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 Mar 13, 2013; 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.