Active NPI
Pharmacy Associates, LLC
Doing business as Carolina Pharmacy
- Community/Retail Pharmacy
- Asheboro, NC
National Provider Identifier
1407057706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 09508
- Legal business name
- PHARMACY ASSOCIATES, LLC
- Doing business as
- Carolina Pharmacy
- Practice address
- 534 Greensboro St
Asheboro, NC 27203-4737 - Phone
- (336) 625-6146
- Fax
- (336) 625-3823
- NPI assigned
- May 31, 2007
- 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
- Dr. Jerry Moore, PHARMD
- Title
- Owner - Manager
- Phone
- (336) 653-4068
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 09508 | NC | Primary |
Addresses
Primary practice location
534 Greensboro St
Asheboro, NC 27203-4737
Mailing address
534 Greensboro St
Asheboro, NC 27203-4737
Phone (336) 625-6146
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3408514 | Other | NCPDP NUMBER |
Other names 1
- Carolina Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140731001429 | NC | Part B Supplier - Pharmacy | 3870719669 | Practice locations: Asheboro, NC |
National Provider Directory
National Provider Directory- Tax ID family
- Carolina Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
534 Greensboro St
Asheboro, NC 27203
Phone (336) 625-3823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407369600000",
"number": "1407057706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "534 GREENSBORO ST",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272034737",
"telephone_number": "336-625-6146",
"fax_number": "336-625-3823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "534 GREENSBORO ST",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272034737",
"telephone_number": "336-625-6146",
"fax_number": "336-625-3823"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHARMACY ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-31",
"last_updated": "2014-08-07",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "JERRY",
"authorized_official_title_or_position": "OWNER - MANAGER",
"authorized_official_telephone_number": "336-653-4068",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NC",
"license": "09508",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP NUMBER",
"identifier": "3408514",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Carolina Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Asheboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.