Organization Active NPI

Hygeia, Inc.

Doing business as Vanceboro Pharmacy

  • Community/Retail Pharmacy
  • Vanceboro, NC
National Provider Identifier
1215957808
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
3631 Issued in NC
Legal business name
HYGEIA, INC.
Doing business as
Vanceboro Pharmacy
Practice address
421 Farm Life Ave
Vanceboro, NC 28586
Phone
(252) 244-1086
Fax
(252) 244-2264
NPI assigned
Jul 19, 2006
Last updated
Apr 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Authorized official

Name
Ernest G Hargett, RPHNPI 1356642995
Title
President
Phone
(252) 244-1086

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
Community/Retail Pharmacy 3336C0003X 3631 NC Primary

Addresses

Primary practice location

421 Farm Life Ave
Vanceboro, NC 28586

Mailing address

PO Box 218
Vanceboro, NC 28586-0218
Phone (252) 244-1086

Other identifiers 3

IdentifierTypeStateIssuer
3416799OtherNCNABP
7703462MedicaidNC
0255364MedicaidNC

Other names 1

  • Vanceboro Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20191021000011 NC Part B Supplier - Mass Immunization (Roster Biller Only) 9335269554 Practice locations: Vanceboro, NC
O20220223001511 NC Part B Supplier - Independent Clinical Laboratory 9335269554 Practice locations: Vanceboro, NC

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2191078Hygeia Inc Dba Vanceboro Pharmacy421 Farm Life Ave, Vanceboro, NC 28586Certificate of waiverAug 23, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1215957808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "VANCEBORO",
            "state": "NC",
            "postal_code": "285860218",
            "telephone_number": "252-244-1086",
            "fax_number": "252-244-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 FARM LIFE AVE",
            "city": "VANCEBORO",
            "state": "NC",
            "postal_code": "28586",
            "telephone_number": "252-244-1086",
            "fax_number": "252-244-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYGEIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "HARGETT",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-244-1086",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "3631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3416799",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703462",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0255364",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vanceboro Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vanceboro Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vanceboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.