Organization Active NPI

Medicine Box Pharmacy of Rutherfordton, Inc.

Doing business as Medicine Box of Rutherfordton

  • Pharmacist
  • Rutherfordton, NC
National Provider Identifier
1447276506
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
07481 Issued in NC
Legal business name
MEDICINE BOX PHARMACY OF RUTHERFORDTON, INC.
Doing business as
Medicine Box of Rutherfordton
Practice address
200 Charlotte Rd
Rutherfordton, NC 28139-2914
Phone
(828) 287-7117
Fax
(828) 287-7649
NPI assigned
Jul 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Laura Smith Hodge, RPHNPI 1215953393
Title
Pharmacist/Owner
Phone
(828) 287-7117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 07481 NC Primary

Addresses

Primary practice location

200 Charlotte Rd
Rutherfordton, NC 28139-2914

Mailing address

200 Charlotte Rd
Rutherfordton, NC 28139-2914
Phone (828) 287-7117

Other identifiers 2

IdentifierTypeStateIssuer
0815398MedicaidNC
7703094OtherNCMEDICAID DME

Other names 1

  • Medicine Box of Rutherfordton Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930028385 NC DME Supplier - Pharmacy 5890816011 Practice locations: Rutherfordton, NC
O20101108000384 NC Part B Supplier - Mass Immunization (Roster Biller Only) 5890816011 Practice locations: Rutherfordton, NC

National Provider Directory

National Provider Directory
Tax ID family
Medicine Box of Rutherfordton2 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.

Practitioners & affiliated clinicians

Practitioners 1

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": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447276506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CHARLOTTE RD",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281392914",
            "telephone_number": "828-287-7117",
            "fax_number": "828-287-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CHARLOTTE RD",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281392914",
            "telephone_number": "828-287-7117",
            "fax_number": "828-287-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE BOX PHARMACY OF RUTHERFORDTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "828-287-7117",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "07481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0815398",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "7703094",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Box of Rutherfordton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rutherfordton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.