Carolina Mountain Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

12627 Issued in NC

Legal business name

CAROLINA MOUNTAIN PHARMACY INC

Doing business as

Carolina Mountain Pharmacy

Practice address

7 Pisgah Hwy Ste 100
Candler, NC 28715-8991

Phone

(828) 633-6700

Fax

(828) 633-6701

NPI assigned

Jun 15, 2015

Last updated

Nov 15, 2020By 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

Jared MattsonNPI 1629150693

Title

Owner/Manager

Phone

(907) 687-0303

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Carolina Mountain Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

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.

• Jared Michael Mattson, PHARMD

  • Pharmacist
  • Asheville, NC
  • NPI 1629150693
  NPD Authorized official
• Rebecca Lynn Mattson, RPH, PHARMD

  • Pharmacist
  • Whittier, NC
  • NPI 1902064355
  NPD (past)

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605398400000",
    "number": "1215318209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PISGAH HWY",
            "address_2": "STE 100",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "287158991",
            "telephone_number": "828-633-6700",
            "fax_number": "828-633-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 PISGAH HWY STE 100",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "287158991",
            "telephone_number": "828-633-6700",
            "fax_number": "828-633-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA MOUNTAIN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2020-11-15",
        "certification_date": "2020-11-15",
        "status": "A",
        "authorized_official_last_name": "MATTSON",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "907-687-0303"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "12627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152684",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Mountain Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Candler Living Center LLC
• Joseph Nelson Carcamo
• Care Medical, Inc.
• Carolina Adventist Retirement Systems, Inc. (Pisgah Manor Health Care Center)
• Carolina Mountain Dda Group Home
• Carolina MTN Dda
• Carolina Vision Optometrists PLLC
• Amanda Carroll
• Mayka Chaves, PHARMD
• Christopher Scott Miller DDS PA (C Scott Miller DDS PA)

• Community/Retail Pharmacy in Candler, NC
• Providers in Candler, 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 Nov 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.