Dr Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

DR PHARMACY, INC

Practice address

304 E Washington St
Rockingham, NC 28379-3644

Phone

(910) 817-7005

NPI assigned

Jun 11, 2018

Last updated

Jun 11, 2018By 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

Mrs. Crystle Tillis, RPH.NPI 1073047858

Title

Owner/ Pharmacist

Phone

(910) 817-7005

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

Tax ID family

Dr Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dr Pharmacy, Inc

  • Long Term Care Pharmacy
  • Rockingham, NC
  • NPI 1053110924
  NPD tax ID

Practitioners 1

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.

• Crystle Tillis, RPH

  • Pharmacist
  • Rockingham, NC
  • NPI 1073047858
  NPD Authorized official

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528675200000",
    "number": "1255824538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 HOLLOW TRL",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283798728",
            "telephone_number": "910-417-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E WASHINGTON ST",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283793644",
            "telephone_number": "910-817-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-11",
        "status": "A",
        "authorized_official_last_name": "TILLIS",
        "authorized_official_first_name": "CRYSTLE",
        "authorized_official_title_or_position": "OWNER/ PHARMACIST",
        "authorized_official_telephone_number": "910-817-7005",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anh Dinh, PHARMD
• Divine Koncepts, Inc
• Christina Kirkley Dixon, ANP
• Adam Teigi Donnelly, PHARMD
• Dr Pharmacy, Inc
• Eagle Rising Health Services
• Early Intervention Works, LLC
• Early Start Intervention Services, Inc.
• Easter Seals Ucp North Carolina & Virginia, Inc.
• Jennifer A. Ebert, APRN

• Community/Retail Pharmacy in Rockingham, NC
• Providers in Rockingham, 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 Jun 11, 2018; 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.