Spindale Long Term Care Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

07501 Issued in NC

Legal business name

SPINDALE LONG TERM CARE PHARMACY INC

Practice address

117 W Main St
Spindale, NC 28160-1539

Phone

(828) 288-1044

Fax

(828) 286-8560

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

William Koonce, RPH

Title

President

Phone

(828) 288-1044

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SPINDALE LONG TERM CARE PHARMACY INC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristen Lynn Garrett, RPH

  • Pharmacist
  • Spindale, NC
  • NPI 1023601911
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1245337187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W MAIN ST",
            "city": "SPINDALE",
            "state": "NC",
            "postal_code": "281601539",
            "telephone_number": "828-288-1044",
            "fax_number": "828-286-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W MAIN ST",
            "city": "SPINDALE",
            "state": "NC",
            "postal_code": "281601539",
            "telephone_number": "828-288-1044",
            "fax_number": "828-286-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINDALE LONG TERM CARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "KOONCE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-288-1044",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NC",
            "license": "07501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2068378",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0815406",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPINDALE LONG TERM CARE PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Spindale, NC
• Long Term Care Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.