Organization Active NPI

Seven Lakes Prescription Shoppe, Inc

  • Community/Retail Pharmacy
  • West End, NC
National Provider Identifier
1396048716
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
07289 Issued in NC
Legal business name
SEVEN LAKES PRESCRIPTION SHOPPE, INC
Practice address
120 Macdougall Drive
West End, NC 27376
Phone
(910) 673-7467
Fax
(910) 673-3595
NPI assigned
Dec 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Authorized official

Name
Dr. Joseph Robert Barrett III, PHARMD
Title
Co-Owner/Pharmacist Manager
Phone
(910) 673-7467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 07289 NC Primary

Addresses

Primary practice location

120 Macdougall Drive
West End, NC 27376

Mailing address

120 Macdougall Drive
West End, NC 27376
Phone (910) 673-7467

Other identifiers 1

IdentifierTypeStateIssuer
5635532MedicaidNC

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
34D2121654Seven Lakes Prescription Shoppe120 Macdougall Drive, West End, NC 27376Certificate of waiverNov 9, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Seven Lakes Prescription Shoppe Inc120 Macdougall Dr, West End, NC 27376-8351(910) 673-7467 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Walkers|Wheelchairs (Standa… Does not accept assignmentParticipating since Oct 4, 2000

National Provider Directory

National Provider Directory
Tax ID family
Seven Lakes Prescription Shoppe Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1396048716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MACDOUGALL DRIVE",
            "city": "WEST END",
            "state": "NC",
            "postal_code": "27376",
            "telephone_number": "910-673-7467",
            "fax_number": "910-673-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MACDOUGALL DRIVE",
            "city": "WEST END",
            "state": "NC",
            "postal_code": "27376",
            "telephone_number": "910-673-7467",
            "fax_number": "910-673-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVEN LAKES PRESCRIPTION SHOPPE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CO-OWNER/PHARMACIST MANAGER",
        "authorized_official_telephone_number": "910-673-7467",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "07289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5635532",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West End, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.