NPIMap

Organization Active NPI

Pharming Company

Doing business as Matthews Drug Store

  • Long Term Care Pharmacy
  • Clinton, NC
National Provider Identifier
1477255784
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
PHARMING COMPANY
Doing business as
Matthews Drug Store
Practice address
408 Northeast Blvd
Clinton, NC 28328-2434
Phone
(910) 592-3121
Fax
(910) 592-5111
NPI assigned
Mar 20, 2023
Organization subpart
Yes
Parent organization
PHARMING COMPANYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Tara B Jackson, PHARMDNPI 1396347605
Title
Owner/Pharmacist
Phone
(910) 592-3121

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

408 Northeast Blvd
Clinton, NC 28328-2434

Mailing address

408 Northeast Blvd
Clinton, NC 28328-2434
Phone (910) 592-3121

Other names 1

  • Matthews Drug Store Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Surescripts

National Provider Directory

National Provider Directory
Tax ID family
Pharming Company3 organizations share this tax ID, including this one
Part of
Pharming Company

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1477255784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 NORTHEAST BLVD",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282434",
            "telephone_number": "910-592-3121",
            "fax_number": "910-592-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 NORTHEAST BLVD",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282434",
            "telephone_number": "910-592-3121",
            "fax_number": "910-592-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMING COMPANY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHARMING COMPANY",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "910-592-3121",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Surescripts",
            "affiliation": "N",
            "endpointDescription": "Powerline",
            "address_1": "408 Northeast Blvd",
            "city": "Clinton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283282434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Matthews Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, NC

Sources for this page

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