Organization Active NPI

New Town Center Pharmacy Inc

  • Community/Retail Pharmacy
  • Southern Pines, NC
National Provider Identifier
1437256377
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
10036 Issued in NC
Legal business name
NEW TOWN CENTER PHARMACY INC
Practice address
610 S Bennett St
Southern Pines, NC 28387-5920
Phone
(910) 692-7158
Fax
(910) 692-0748
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Authorized official

Name
Sambasiva R Venigalla
Title
President
Phone
(917) 541-8126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 10036 NC Primary

Addresses

Primary practice location

610 S Bennett St
Southern Pines, NC 28387-5920

Mailing address

610 S Bennett St
Southern Pines, NC 28387-5920
Phone (910) 692-7158

Other identifiers 3

IdentifierTypeStateIssuer
3411129OtherOTHER ID NUMBER-COMMERCIAL NUMBER
3411129OtherOTHER ID NUMBER
0635409MedicaidNC

Other names 1

  • TOWN CENTER PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

610 S Bennett St
Southern Pines, NC 28387
Phone (910) 692-7158

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263254400000",
    "number": "1437256377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S BENNETT ST",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875920",
            "telephone_number": "910-692-7158",
            "fax_number": "910-692-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S BENNETT ST",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875920",
            "telephone_number": "910-692-7158",
            "fax_number": "910-692-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW TOWN CENTER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-01-12",
        "status": "A",
        "authorized_official_last_name": "VENIGALLA",
        "authorized_official_first_name": "SAMBASIVA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-541-8126"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "10036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3411129",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3411129",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0635409",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOWN CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southern Pines, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; 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.