Carolina Compounding Center Inc

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

08123 Issued in NC

Legal business name

CAROLINA COMPOUNDING CENTER INC

Doing business as

Carolina Compounding Center Inc

Practice address

1208 Parkway Dr Ste B
Goldsboro, NC 27534-9432

Phone

(919) 751-2600

Fax

(919) 751-2030

NPI assigned

Aug 10, 2006

Last updated

Mar 6, 2017By 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

Gary Camp, PHD

Title

President

Phone

(919) 751-2600

Specialties & licenses 5

Addresses

Other names 1

• CAROLINA COMPOUNDING CENTER INC Doing business as

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1245241801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 PARKWAY DR STE B",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349432",
            "telephone_number": "919-751-2600",
            "fax_number": "919-751-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 PARKWAY DR STE B",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349432",
            "telephone_number": "919-751-2600",
            "fax_number": "919-751-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA COMPOUNDING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "CAMP",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-751-2600",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NC",
            "license": "08123",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAROLINA COMPOUNDING CENTER INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan Lee Carlson, IDMT
• Vanesha Carlton
• Keith Kilauea Carmack, M.D.
• Mario Carmichael
• Carolina Clinical Counseling, PLLC
• Carolina Kidney and Vascular, PA
• Carolina Kidney and Vascular, PA
• Carolina Nephrology PA
• Carolina Outreach, LLC
• Carolina Residential Services, Inc

• Compounding Pharmacy in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Compounding Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.