Active NPI
Carolina Pharmacy Services
Doing business as Yadkin Valley Pharmacy
- Community/Retail Pharmacy
- Yadkinville, NC
National Provider Identifier
1346417185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 09030
- Legal business name
- CAROLINA PHARMACY SERVICES
- Doing business as
- Yadkin Valley Pharmacy
- Practice address
- 207A Ash St
Yadkinville, NC 27055-6869 - Phone
- (336) 677-5000
- Fax
- (336) 677-5010
- NPI assigned
- May 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David W Schomberg Jr., RPH
- Title
- Pharmacy Manager
- Phone
- (336) 677-5000
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 09030 | NC | Primary |
Addresses
Primary practice location
207A Ash St
Yadkinville, NC 27055-6869
Mailing address
2560 Innisfail LN
Clemmons, NC 27012-8693
Phone (336) 677-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7704341 | Medicaid | NC |
Other names 1
- Yadkin Valley Pharmacy
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Yadkinville, NC
- NPI 1194047290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210550400000",
"number": "1346417185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2560 INNISFAIL LN",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270128693",
"telephone_number": "336-677-5000",
"fax_number": "336-677-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207A ASH ST",
"city": "YADKINVILLE",
"state": "NC",
"postal_code": "270556869",
"telephone_number": "336-677-5000",
"fax_number": "336-677-5010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA PHARMACY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-12",
"last_updated": "2008-05-12",
"status": "A",
"authorized_official_last_name": "SCHOMBERG",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "336-677-5000",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NC",
"license": "09030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7704341",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Yadkin Valley Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Yadkinville, NC
- Cah Acquisition Company 10 LLC (Yadkin Valley Community Hospital)
- Matthew A Cain, PTA
- Ashley Keys Campbell, NP-C
- Cape Fear Regional Transport Inc (Miller Ambulance Service)
- Carolina Pharmacy Services (Yadkin Valley Pharmacy)
- Barbara Ann Carter, RN
- Connie Caudle, MSN, FNP-C
- Megan Reklis Caudle, ACNP
- Mark Chinn, M.D.
- Kirstan Christian
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.