Active NPI
Hygeia, Inc.
Doing business as Vanceboro Pharmacy
- Community/Retail Pharmacy
- Vanceboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 3631
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ernest G Hargett, RPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3416799 | Other | NC | NABP |
| 7703462 | Medicaid | NC | |
| 0255364 | Medicaid | NC |
Other names 1
- Vanceboro Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2191078 | Hygeia Inc Dba Vanceboro Pharmacy | Certificate of waiver | Aug 23, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pharmacist
- Vanceboro, NC
- NPI 1356642995
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Vanceboro, NC
- NPI 1902304645
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.