Organization Active NPI

Hogan'S Pharmacy Inc

  • Community/Retail Pharmacy
  • Lillington, NC
National Provider Identifier
1457763401
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
12030 Issued in NC
Legal business name
HOGAN'S PHARMACY INC
Practice address
815 W Front St
Lillington, NC 27546-9735
Phone
(910) 893-4544
Fax
(910) 893-4544
NPI assigned
May 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Stacie HoganNPI 1205167012
Title
President
Phone
(910) 893-4544

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 12030 NC Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

815 W Front St
Lillington, NC 27546-9735

Mailing address

815 W Front St
PO Box 159
Lillington, NC 27546-9735
Phone (910) 893-4544

Other identifiers 1

IdentifierTypeStateIssuer
2146444OtherPK

Other names 1

  • Hogan's Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140911001098 NC Part B Supplier - Mass Immunization (Roster Biller Only) 0840419560 Practice locations: Lillington, NC

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1457763401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 W FRONT ST",
            "address_2": "PO BOX 159",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275469735",
            "telephone_number": "910-893-4544",
            "fax_number": "910-893-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 W FRONT ST",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275469735",
            "telephone_number": "910-893-4544",
            "fax_number": "910-893-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOGAN'S PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "STACIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-893-4544"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "12030",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146444",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hogan's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lillington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.