Pembroke Drug Center

Primary specialty

PharmacistTaxonomy code 183500000X

License

05100 Issued in NC

Legal business name

PEMBROKE DRUG CENTER

Doing business as

Healthkeeperz Pharmacy

Practice address

812 Candy Park Road
Pembroke, NC 28372

Phone

(910) 522-1041

Fax

(910) 522-1085

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Howard D Brooks

Title

President

Phone

(910) 555-0001

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• HEALTHKEEPERZ PHARMACY Doing business as

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1306935325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 CANDY PARK ROAD",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "28372",
            "fax_number": "910-522-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 CANDY PARK ROAD",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "28372",
            "telephone_number": "910-522-1041",
            "fax_number": "910-522-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEMBROKE DRUG CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-555-0001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "05100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0785683",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704478",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTHKEEPERZ PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Utpal K Patel, MD
• Peace of Mind Heal Care Services, Inc.
• Peace of Mind Residential and Community Services Inc
• Pembroke Center for Wellness, Inc
• Pembroke Center for Wellness, Inc
• Pembroke Drug Center, Inc. (Healthkeeperz)
• Pembroke Drug Center, Inc. (Healthkeeperz DME)
• Pembroke Drug Holdings, LLC (Pembroke Drug)
• Pembroke Drug Holdings, LLC
• Pembroke Medical Center, Inc.

• Pharmacist in Pembroke, NC
• Providers in Pembroke, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.