Organization Active NPI

Mountainmed LLC

  • Community/Retail Pharmacy
  • Marion, NC
National Provider Identifier
1265539100
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
09280 Issued in NC
Legal business name
MOUNTAINMED LLC
Doing business as
Mountainmed LLC
Practice address
74 N Garden St
Marion, NC 28752-4037
Phone
(828) 652-9633
Fax
(828) 652-8201
NPI assigned
Sep 20, 2006
Last updated
Aug 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Authorized official

Name
Jeffrey Carver, RPHNPI 1316307812
Title
Owner and Pres
Phone
(828) 652-9633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 09280 NC Primary

Addresses

Primary practice location

74 N Garden St
Marion, NC 28752-4037

Mailing address

74 N Garden St
Marion, NC 28752-4037
Phone (828) 652-9633

Other identifiers 2

IdentifierTypeStateIssuer
2065778OtherPK
0595207MedicaidNC

Other names 1

  • MOUNTAINMED LLC Doing business as

National Provider Directory

National Provider Directory

Locations

74 N Garden St
Marion, NC 28752
Phone (828) 652-9633

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1265539100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 N GARDEN ST",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287524037",
            "telephone_number": "828-652-9633",
            "fax_number": "828-652-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 N GARDEN ST",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287524037",
            "telephone_number": "828-652-9633",
            "fax_number": "828-652-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "CARVER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER AND PRES",
        "authorized_official_telephone_number": "828-652-9633",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "09280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2065778",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0595207",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOUNTAINMED LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.