Organization Active NPI

Belmont Pharmacy Inc

  • Community/Retail Pharmacy
  • Reidsville, NC
National Provider Identifier
1386634947
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
04755 Issued in NC
Legal business name
BELMONT PHARMACY INC
Practice address
105 Professional Dr
Reidsville, NC 27320-7173
Phone
(336) 342-4221
Fax
(336) 342-4119
NPI assigned
Oct 25, 2005
Last updated
Feb 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Charles Britt, RPH
Title
Owner/President
Phone
(336) 394-1100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 04755 NC Primary

Addresses

Primary practice location

105 Professional Dr
Reidsville, NC 27320-7173

Mailing address

105 Professional Dr
Reidsville, NC 27320-7173
Phone (336) 342-4221

Other identifiers 2

IdentifierTypeStateIssuer
0795559MedicaidNC
2068461OtherPK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100913000691 NC Part B Supplier - Mass Immunization (Roster Biller Only) 1052436128 Practice locations: Reidsville, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0953562Belmont Pharmacy105 Professional Dr, Reidsville, NC 27320Certificate of waiverNov 4, 2026

National Provider Directory

National Provider Directory

Locations

105 Professional Dr
Reidsville, NC 27320
Phone (336) 218-5762

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": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1386634947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PROFESSIONAL DR",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273207173",
            "telephone_number": "336-342-4221",
            "fax_number": "336-342-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PROFESSIONAL DR",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273207173",
            "telephone_number": "336-342-4221",
            "fax_number": "336-342-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELMONT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "BRITT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "336-394-1100",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "04755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0795559",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2068461",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reidsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.