Tar Heel Drug LTC, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

11522 Issued in NC

Legal business name

TAR HEEL DRUG LTC, LLC

Practice address

316 S Main St
Graham, NC 27253-3320

Phone

(336) 228-9003

Fax

(336) 227-7401

NPI assigned

Apr 15, 2013

Organization subpart

Yes

Parent organization

TAR HEEL DRUG, INC.As reported in NPPES

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

Authorized official

Name

Mr. James Walter Deming, PHARMD

Title

President/Owner

Phone

(336) 228-9003

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Tarheel Drug

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1457794950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 S MAIN ST",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272533320",
            "telephone_number": "336-228-9003",
            "fax_number": "336-227-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 S MAIN ST",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272533320",
            "telephone_number": "336-228-9003",
            "fax_number": "336-227-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAR HEEL DRUG LTC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TAR HEEL DRUG, INC.",
        "enumeration_date": "2013-04-15",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "DEMING",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "336-228-9003",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NC",
            "license": "11522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBOP PERMIT NUMBER",
            "identifier": "11522",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney Strader, COTA
• Lili Jie Sun, M.D.
• Larry Justain Sykes, PA-C
• Sharon Ann Talbert
• William Kent Tapscott, RPH, CCP
• Denny C. Tate, MD
• Tora L'Adele Taylor-Glover, MSW, LCSW
• Kaitlyn Rae Taylor, PHARMD
• Taylored Counseling Services, PLLC
• The Exchange Club'S Family Center in Alamance County

• Long Term Care Pharmacy in Graham, NC
• Providers in Graham, NC by specialty
• Long Term Care Pharmacy in North Carolina

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