Ellerbe Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

11846 Issued in NC

Legal business name

ELLERBE PHARMACY

Doing business as

Ellerbe Pharmacy

Practice address

274 Second Street
Ellerbe, NC 28338

Phone

(910) 652-6261

Fax

(910) 652-2469

NPI assigned

Jun 11, 2006

Last updated

Mar 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rodney McCaskill, RPH

Title

Owner-Manager

Phone

(910) 652-6261

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• ELLERBE PHARMACY Doing business as

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1285676882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 467",
            "city": "ELLERBE",
            "state": "NC",
            "postal_code": "283380467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 SECOND STREET",
            "city": "ELLERBE",
            "state": "NC",
            "postal_code": "28338",
            "telephone_number": "910-652-6261",
            "fax_number": "910-652-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLERBE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "MCCASKILL",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "OWNER-MANAGER",
        "authorized_official_telephone_number": "910-652-6261",
        "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": "11846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2065844",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0775130",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELLERBE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolina Wellness Services PLLC
• Jordan Tyler Dewitt, MA, LMFT, LCAS
• Lauren Leviner Dewitt, RN
• FHPG, LLC (FirstHealth Family Medicine-Ellerbe)
• Robin Hurt
• Venkata L N Juluru
• Bohdan William Kopynec, M.D.
• Eric Legrand

• Community/Retail Pharmacy in Ellerbe, NC
• Providers in Ellerbe, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.