Massey Hill Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MASSEY HILL PHARMACY LLC

Practice address

1072 Southern Ave
Fayetteville, NC 28306-1766

Phone

(910) 484-0159

NPI assigned

May 7, 2009

Last updated

May 8, 2009By 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

Venkata G BodduluriNPI 1205092913

Title

Pharmacist Owner

Phone

(603) 723-2884

Specialties & licenses 1

Addresses

Locations

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.

• Venkata Gangadhar Bodduluri

  • Pharmacist
  • Fayetteville, NC
  • NPI 1205092913
  NPD (past) Authorized official
• Nagakishore Babu Edupuganti, R.PH

  • Pharmacist
  • Raleigh, NC
  • NPI 1255639845
  NPD (past)

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1346474194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 SOUTHERN AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283061766",
            "telephone_number": "910-484-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 SOUTHERN AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283061766",
            "telephone_number": "910-484-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSEY HILL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "BODDULURI",
        "authorized_official_first_name": "VENKATA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "603-723-2884"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wajeed Masood, M.D.
• Valerie A Masotti, MS, PA-C
• Robert Don Massena Jr., LPC
• Latriesha Massenburg
• Massey Hill Medical Center
• Chameeka Starr Mastrodonato
• Bethany Matheson, LPC(A), M.ED., NCC
• Shelby Marie Matheson, PT, DPT
• Latasha Mathews
• Mitsuko Shamarah Mathews

• Community/Retail Pharmacy in Fayetteville, NC
• Providers in Fayetteville, 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 May 8, 2009; 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.