Organization Active NPI

Stewart Pharmaceuticals Inc

Doing business as Stewart Compounding Pharmacy

  • Community/Retail Pharmacy
  • Fayetteville, NC
National Provider Identifier
1275578700
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
05373 Issued in NC
Legal business name
STEWART PHARMACEUTICALS INC
Doing business as
Stewart Compounding Pharmacy
Practice address
101 Broadfoot Ave
Fayetteville, NC 28305-5001
Phone
(910) 483-5450
Fax
(910) 483-6228
NPI assigned
Jun 18, 2006
Last updated
Dec 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

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

Authorized official

Name
Chalmas Craig Stewart, RPH
Title
Owner Pharmacist
Phone
(910) 483-5450

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 05373 NC Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

101 Broadfoot Ave
Fayetteville, NC 28305-5001

Mailing address

101 Broadfoot Ave
Fayetteville, NC 28305-5001
Phone (910) 483-5450

Other identifiers 3

IdentifierTypeStateIssuer
3426055OtherNCPDP PROVIDER IDENTIFICATION NUMBER
7701130OtherNCMEDICAID DME
0265819MedicaidNC

Other names 1

  • STEWART COMPOUNDING PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

101 Broadfoot Ave
Fayetteville, NC 28305
Phone (910) 483-5450

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1275578700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BROADFOOT AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055001",
            "telephone_number": "910-483-5450",
            "fax_number": "910-483-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BROADFOOT AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055001",
            "telephone_number": "910-483-5450",
            "fax_number": "910-483-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWART PHARMACEUTICALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "CHALMAS",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "910-483-5450",
        "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": "05373",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3426055",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "7701130",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0265819",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STEWART COMPOUNDING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.