Active NPI
Librick, Inc.
Doing business as Tryon Pharmacy
- Durable Medical Equipment & Medical Supplies
- Tryon, NC
National Provider Identifier
1265573893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 5333
- Legal business name
- LIBRICK, INC.
- Doing business as
- Tryon Pharmacy
- Practice address
- 620 S Trade St
Tryon, NC 28782-3716 - Phone
- (828) 859-6615
- Fax
- (828) 859-5901
- NPI assigned
- Feb 8, 2007
- Last updated
- Mar 28, 2011
- Organization subpart
- Yes
- Parent organization
- LIBRICK, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Frederick Michael Henriksen, RPH
- Title
- Pharmacist-Manager
- Phone
- (828) 859-6615
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 5333 | NC | Primary |
Addresses
Primary practice location
620 S Trade St
Tryon, NC 28782-3716
Mailing address
620 S Trade St
Tryon, NC 28782-3716
Phone (828) 859-6615
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3428023 | Other | NC | NCPDP |
| 7N5333 | Medicaid | SC | |
| 7700144 | Medicaid | NC | |
| 0755074 | Medicaid | NC |
Other names 1
- TRYON PHARMACY
National Provider Directory
National Provider Directory- Part of
- Librick Inc
Locations
620 S Trade St
Tryon, NC 28782
Phone (828) 859-6615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301270400000",
"number": "1265573893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 S TRADE ST",
"city": "TRYON",
"state": "NC",
"postal_code": "287823716",
"telephone_number": "828-859-6615",
"fax_number": "828-859-5901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 S TRADE ST",
"city": "TRYON",
"state": "NC",
"postal_code": "287823716",
"telephone_number": "828-859-6615",
"fax_number": "828-859-5901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBRICK, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LIBRICK, INC.",
"enumeration_date": "2007-02-08",
"last_updated": "2011-03-28",
"status": "A",
"authorized_official_last_name": "HENRIKSEN",
"authorized_official_first_name": "FREDERICK",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PHARMACIST-MANAGER",
"authorized_official_telephone_number": "828-859-6615",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NC",
"license": "5333",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "3428023",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7N5333",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7700144",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0755074",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TRYON PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tryon, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.