Target Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

12223 Issued in NC

Legal business name

TARGET PHARMACY

Practice address

4841 Grove Barton Rd
Raleigh, NC 27613-1900

Phone

(919) 785-0335

NPI assigned

Sep 11, 2015

Organization subpart

No

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

Authorized official

Name

Suzanne Montgomery

Title

Pharmacist

Phone

(919) 844-0697

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1447628136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4841 GROVE BARTON RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131900",
            "telephone_number": "919-785-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4841 GROVE BARTON RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131900",
            "telephone_number": "919-785-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "919-844-0697"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "12223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.