Fernhill Pharm Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

11557 Issued in NC

Legal business name

FERNHILL PHARM INC

Practice address

518 S Broad St
Brevard, NC 28712-4438

Phone

(828) 877-6111

Fax

(828) 877-6487

NPI assigned

Jul 10, 2013

Organization subpart

No

Name

Mr. William Jeffrey GordonNPI 1841427218

Title

Operations Manager

Phone

(828) 877-6111

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Jeffrey Gordon

  • Pharmacist
  • Brevard, NC
  • NPI 1841427218
  NPD Authorized official
• Edward Lawrence Bryson Jr., RPH

  • Pharmacist
  • Brevard, NC
  • NPI 1013372333
  NPD (past)
• Kyli Breeding Lee, PHARMD

  • Pharmacist
  • Asheville, NC
  • NPI 1922616606
  NPD (past)
• Zachary Pyle, PHARMD

  • Pharmacist
  • Brevard, NC
  • NPI 1588246136
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

• Gordon Family Pharmacy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 15, 2013.

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1457792160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 S BROAD ST",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287124438",
            "telephone_number": "828-877-6111",
            "fax_number": "828-877-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 S BROAD ST",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287124438",
            "telephone_number": "828-877-6111",
            "fax_number": "828-877-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNHILL PHARM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "828-877-6111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "11557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gordon Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Families Together, Inc.
• Families Together, Inc.
• Family Preservation Services of North Carolina, Inc - Brevard Element
• Family Preservation Services of North Carolina, Inc. - Brevard Middle
• Roberta J Ferguson, LPC
• Donald Ferrell
• Marisa D Fessler
• Kerry Noel Fincher, D.O., CAQSM
• Fisher Road Group Home
• Anthony L Fisher, MD

• All providers in Brevard, NC
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.