NPIMap

Organization Active NPI

Appalachian Mountain Community Health Centers

Doing business as Tallulah Pharmacy

  • Community/Retail Pharmacy
  • Robbinsville, NC
National Provider Identifier
1376822619
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
11034 Issued in NC
Legal business name
APPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERS
Doing business as
Tallulah Pharmacy
Practice address
409 Tallulah Rd
Robbinsville, NC 28771
Phone
(828) 479-4039
Fax
(828) 479-4980
NPI assigned
Aug 4, 2011
Last updated
Jan 4, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
APPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Authorized official

Name
Shantelle Simpson
Title
President & Chief Executive Officer
Phone
(828) 202-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 11034 NC Primary

Addresses

Primary practice location

409 Tallulah Rd
Robbinsville, NC 28771

Mailing address

409 Tallulah Rd
Robbinsville, NC 28771
Phone (828) 479-4039

Other names 1

  • Tallulah Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Appalachian Mountain Community Health Centers6 organizations share this tax ID, including this one
Part of
Appalachian Mountain Community Health Centers

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1376822619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 TALLULAH RD",
            "city": "ROBBINSVILLE",
            "state": "NC",
            "postal_code": "28771",
            "telephone_number": "828-479-4039",
            "fax_number": "828-479-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 TALLULAH RD",
            "city": "ROBBINSVILLE",
            "state": "NC",
            "postal_code": "28771",
            "telephone_number": "828-479-4039",
            "fax_number": "828-479-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERS",
        "enumeration_date": "2011-08-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "SHANTELLE",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "828-202-5200"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "11034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tallulah Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Robbinsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.