Ricetta RX North Carolina, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

09308 Issued in NC

Legal business name

RICETTA RX NORTH CAROLINA, LLC

Doing business as

Southern Pharmacy Services

Practice address

4459 Tar Hill Dr
Pink Hill, NC 28572-9649

Phone

(252) 568-9945

Fax

(252) 568-3983

NPI assigned

Oct 20, 2006

Last updated

Mar 6, 2008By 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

Chad L Terry, PHARMD

Title

Manager

Phone

(252) 568-9945

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Southern Pharmacy Services Doing business as

Tax ID family

Ricetta RX North Carolina LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ricetta RX North Carolina LLC

  dba Southern Pharmacy Services

  • Long Term Care Pharmacy
  • Pink Hill, NC
  • NPI 1063505774
  NPD tax ID

Practitioners 1

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.

• Libby Annette Holley, RN

  • Registered Nurse
  • Pink Hill, NC
  • NPI 1447977723
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1326120296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4459 TAR HILL DR",
            "city": "PINK HILL",
            "state": "NC",
            "postal_code": "285729649",
            "telephone_number": "252-568-9945",
            "fax_number": "252-568-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4459 TAR HILL DR",
            "city": "PINK HILL",
            "state": "NC",
            "postal_code": "285729649",
            "telephone_number": "252-568-9945",
            "fax_number": "252-568-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICETTA RX NORTH CAROLINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "252-568-9945",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NC",
            "license": "09308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FLU VACCINE",
            "identifier": "2801167",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0545624",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Pharmacy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pink Hill Chiropractic, PA
• Pink Hill Pharmacy Inc
• Realo Discount Drug Stores of Pink Hill, Inc.
• Realo Discount Drug Stores of Pink Hill, Inc.
• Ricetta RX North Carolina LLC (Southern Pharmacy Services)
• Chrystal T Rooks, D.D.S.
• Michaela Russ, RN, IBCLC
• Southerm Medical and Equipment Sales, L.P.
• Southern Associates of the Carolinas, Inc (Southern Pharmacy Services)
• Samantha Stancill, RN

• Long Term Care Pharmacy in Pink Hill, NC
• Providers in Pink Hill, NC by specialty
• Long Term Care Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.