Active NPI
Stewart Pharmaceuticals Inc
Doing business as Stewart Compounding Pharmacy
- Community/Retail Pharmacy
- Fayetteville, NC
National Provider Identifier
1275578700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 05373
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3426055 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 7701130 | Other | NC | MEDICAID DME |
| 0265819 | Medicaid | NC |
Other names 1
- STEWART COMPOUNDING PHARMACY
National Provider Directory
National Provider DirectoryLocations
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.