Active NPI
New Town Center Pharmacy Inc
- Community/Retail Pharmacy
- Southern Pines, NC
National Provider Identifier
1437256377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 10036
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3411129 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 3411129 | Other | OTHER ID NUMBER | |
| 0635409 | Medicaid | NC |
Other names 1
- TOWN CENTER PHARMACY
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Fayetteville, NC
- NPI 1720460017
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.