New Ellerbe Pharmacy Inc

Primary specialty

Inpatient HospiceTaxonomy code 315D00000X

Legal business name

NEW ELLERBE PHARMACY INC

Practice address

274 2ND Street
Ellerbe, NC 28338

Phone

(910) 652-6261

Fax

(910) 652-2469

NPI assigned

Oct 5, 2015

Last updated

Oct 5, 2015By 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

Kalpana Gottipati

Title

President

Phone

(910) 652-6261

Specialties & licenses 8

Addresses

Tax ID family

Ellerbe Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• New Ellerbe Pharmacy Inc

  dba ellerbe pharmacy

  • Community/Retail Pharmacy
  • Ellerbe, NC
  • NPI 1093107088
  NPD tax ID

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1215307103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 2ND STREET",
            "city": "ELLERBE",
            "state": "NC",
            "postal_code": "28338",
            "telephone_number": "910-652-6261",
            "fax_number": "910-652-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 2ND STREET",
            "city": "ELLERBE",
            "state": "NC",
            "postal_code": "28338",
            "telephone_number": "910-652-6261",
            "fax_number": "910-652-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ELLERBE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "GOTTIPATI",
        "authorized_official_first_name": "KALPANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-652-6261"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Legrand
• Christine Anne McBride, PA-C
• Mary Catherine McKay
• Monarch
• New Ellerbe Pharmacy Inc (ellerbe pharmacy)
• RBS Case Management LLC
• Bridget Nicole Thompson, PA
• Esther Marie Walker, MD

• Inpatient Hospice in Ellerbe, NC
• Providers in Ellerbe, NC by specialty
• Inpatient Hospice in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.