Organization Active NPI

Blsrph, Inc

Doing business as Village Prescription Center

  • Community/Retail Pharmacy
  • Lake Waccamaw, NC
National Provider Identifier
1285172197
Registry record updated Feb 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
13173 Issued in NC
Legal business name
BLSRPH, INC
Doing business as
Village Prescription Center
Practice address
108 E Old Highway 74 76
Lake Waccamaw, NC 28450-2512
Phone
(910) 646-3435
Fax
(910) 646-4056
NPI assigned
Feb 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2017

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

Authorized official

Name
Benjamin Lewis Sauls, R.PHNPI 1588923114
Title
President/Owner
Phone
(910) 646-3435

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 13173 NC Primary

Addresses

Primary practice location

108 E Old Highway 74 76
Lake Waccamaw, NC 28450-2512

Mailing address

PO Box 148
Lake Waccamaw, NC 28450-0148
Phone (910) 646-3435

Other names 1

  • VILLAGE PRESCRIPTION CENTER Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170728001700 NC DME Supplier - Pharmacy 0446520134 Practice locations: Lake Waccamaw, NC
O20171016000408 NC Part B Supplier - Mass Immunization (Roster Biller Only) 0446520134 Practice locations: Lake Waccamaw, 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
Blsrph, Inc108 E Old Highway 74 76, Lake Waccamaw, NC 28450-2512(910) 646-3400 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Mar 17, 2017

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": "1486771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486771200000",
    "number": "1285172197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "LAKE WACCAMAW",
            "state": "NC",
            "postal_code": "284500148",
            "telephone_number": "910-646-3435",
            "fax_number": "910-646-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E OLD HIGHWAY 74 76",
            "city": "LAKE WACCAMAW",
            "state": "NC",
            "postal_code": "284502512",
            "telephone_number": "910-646-3435",
            "fax_number": "910-646-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLSRPH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-11",
        "last_updated": "2017-02-11",
        "status": "A",
        "authorized_official_last_name": "SAULS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "910-646-3435",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "13173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VILLAGE PRESCRIPTION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Waccamaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2017; 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.