Colonial Pharmacy of Murfreesboro NC Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

COLONIAL PHARMACY OF MURFREESBORO NC INC

Doing business as

Colonial Pharmacy

Practice address

700 E Main St
Murfreesboro, NC 27855-1214

Phone

(252) 398-3138

Fax

(252) 398-3842

NPI assigned

Sep 20, 2006

Last updated

Oct 23, 2023By 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

Stacey Alan Taylor

Title

Owner/Pharmacist in Charge

Phone

(252) 398-3138

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Colonial Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1255438198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "city": "MURFREESBORO",
            "state": "NC",
            "postal_code": "278550487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E MAIN ST",
            "city": "MURFREESBORO",
            "state": "NC",
            "postal_code": "278551214",
            "telephone_number": "252-398-3138",
            "fax_number": "252-398-3842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL PHARMACY OF MURFREESBORO NC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "252-398-3138"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0465112",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Murfreesboro, NC
• Providers in Murfreesboro, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.