Organization Active NPI

Cumberland Pharmacies Inc

Doing business as Medicine Shoppe

  • Community/Retail Pharmacy
  • Fayetteville, NC
National Provider Identifier
1316052350
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CUMBERLAND PHARMACIES INC
Doing business as
Medicine Shoppe
Practice address
530 Grove St
Fayetteville, NC 28301-5140
Phone
(910) 483-5117
Fax
(910) 483-0265
NPI assigned
Aug 20, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Amy Bowden, RPHNPI 1891114088
Title
Pharmacist
Phone
(910) 483-5117

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 3078 NC
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

530 Grove St
Fayetteville, NC 28301-5140

Mailing address

530 Grove St
Fayetteville, NC 28301-5140

Other identifiers 3

IdentifierTypeStateIssuer
0265322MedicaidNC
3413349OtherOTHER ID NUMBER-COMMERCIAL NUMBER
7701335MedicaidNC

Other names 1

  • MEDICINE SHOPPE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140801001838 NC Part B Supplier - Mass Immunization (Roster Biller Only) 2961628649 Practice locations: Fayetteville, NC

National Provider Directory

National Provider Directory

Locations

530 Grove St
Fayetteville, NC 28301
Phone (910) 483-5117

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": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1316052350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 GROVE ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 GROVE ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015140",
            "telephone_number": "910-483-5117",
            "fax_number": "910-483-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND PHARMACIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BOWDEN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "910-483-5117",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "3078",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0265322",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3413349",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7701335",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.