Organization Active NPI

Carolina Pharmacy Services

Doing business as Yadkin Valley Pharmacy

  • Pharmacist
  • Yadkinville, NC
National Provider Identifier
1235116823
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12253 Issued in NC
Legal business name
CAROLINA PHARMACY SERVICES
Doing business as
Yadkin Valley Pharmacy
Practice address
207A Ash St
Yadkinville, NC 27055-6869
Phone
(336) 677-5000
Fax
(336) 677-5010
NPI assigned
Dec 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Authorized official

Name
Mr. David William Schomberg Jr., RPH
Title
Pharmacy Manager
Phone
(336) 677-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 12253 NC Primary

Addresses

Primary practice location

207A Ash St
Yadkinville, NC 27055-6869

Mailing address

207A Ash St
Yadkinville, NC 27055-6869
Phone (336) 677-5000

Other identifiers 2

IdentifierTypeStateIssuer
0995209MedicaidNC
7704341MedicaidNC

Other names 1

  • Yadkin Valley Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

207 Ash St
Ste A
Yadkinville, NC 27055
Phone (336) 518-1245

301 E Lee Ave
#B
Yadkinville, NC 27055
Phone (336) 677-5000

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1235116823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207A ASH ST",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270556869",
            "telephone_number": "336-677-5000",
            "fax_number": "336-677-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207A ASH ST",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270556869",
            "telephone_number": "336-677-5000",
            "fax_number": "336-677-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PHARMACY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "SCHOMBERG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "336-677-5000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "12253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0995209",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704341",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yadkin Valley Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yadkinville, NC

Sources for this page

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