Organization Active NPI

Center Street Pharmacy, Inc.

  • Long Term Care Pharmacy
  • Apex, NC
National Provider Identifier
1255958666
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
CENTER STREET PHARMACY, INC.
Practice address
781 Center St
Apex, NC 27502-1711
Phone
(803) 605-8266
NPI assigned
Jul 1, 2020
Last updated
Nov 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Elizabeth Ashley Peele
Title
Director of Pharmacy
Phone
(919) 629-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

781 Center St
Apex, NC 27502-1711

Mailing address

781 Center St
Apex, NC 27502-1711
Phone (919) 629-4900

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL matrixcare Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20211001002321 NC Part B Supplier - Mass Immunization (Roster Biller Only) 4789082926 Practice locations: Apex, NC
O20250224001120 NC DME Supplier - Pharmacy 4789082926 Practice locations: Apex, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Center Street Pharmacy781 Center St, Apex, NC 27502-1711(919) 629-4900 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Sep 17, 2021

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1255958666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 CENTER ST",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275021711",
            "telephone_number": "919-629-4900",
            "fax_number": "866-393-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 CENTER ST",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275021711",
            "telephone_number": "803-605-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER STREET PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "PEELE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "919-629-4900"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "matrixcare",
            "affiliation": "N",
            "endpointDescription": "electronic mar",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "101 Baines Ct",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275116625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.