Organization Active NPI

Douglas C Guider

Doing business as Medicine Shoppe

  • Community/Retail Pharmacy
  • New Bern, NC
National Provider Identifier
1457423246
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DOUGLAS C GUIDER
Doing business as
Medicine Shoppe
Practice address
2713 Neuse Blvd
New Bern, NC 28562-2840
Phone
(252) 633-6351
Fax
(252) 633-0469
NPI assigned
Nov 15, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Douglas Clayton Guider, RPH
Title
Pharmacist
Phone
(252) 633-6351

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 04453 NC
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

2713 Neuse Blvd
New Bern, NC 28562-2840

Mailing address

2713 Neuse Blvd
New Bern, NC 28562-2840

Other identifiers 2

IdentifierTypeStateIssuer
3422110OtherOTHER ID NUMBER-COMMERCIAL NUMBER
0255422MedicaidNC

Other names 1

  • MEDICINE SHOPPE Doing business as

National Provider Directory

National Provider Directory

Locations

2713 Neuse Blvd
New Bern, NC 28562
Phone (252) 633-6351

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1457423246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2713 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622840",
            "telephone_number": "252-633-6351",
            "fax_number": "252-633-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS C GUIDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "GUIDER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "CLAYTON",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "252-633-6351",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "04453",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3422110",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0255422",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.