Avery Pharmacy & Healthcare Inc
Organization Active NPI Pharmacy · Linville, NC
NPI 1457430977 · NPPES record last updated Mar 7, 2025
Key facts
- NPI
- 1457430977
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- 333600000X (NC)
- Legal business name
- AVERY PHARMACY & HEALTHCARE INC
- Practice address
- 436 Hospital Drive
Linville, NC 28646 - Phone
- (828) 733-2486
- NPI assigned
- Nov 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Spencer W Hodges, PHARMD
- Title
- Vice President
- Phone
- (828) 264-3055
Practitioners 1
-
Laura C Petche, PHARMD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2201403 | Avery Pharmacy and Heathcare | Certificate of waiver | Nov 19, 2026 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Avery Pharmacy & Healthcare Inc |
Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchair Seating/Cushions|Orthoses: Off-The-Shelf|Ur… | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930079010 | NC | DME Supplier - Pharmacy |
9436270543 | Practice locations: Linville, NC |
| O20190416000397 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 9436270543 | Practice locations: Linville, NC |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | 333600000X | NC | Yes |
Addresses
Primary practice location
436 Hospital Drive
Linville, NC 28646
Mailing address
345 Deerfield Rd
Boone, NC 28607-5009
Phone (828) 355-3365
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7703184 | Medicaid | NC |
Other names
- Avery Pharmacy
Other providers in Linville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.