Roseboro Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

10585 Issued in NC

Legal business name

ROSEBORO PHARMACY INC

Doing business as

Center Street Pharmacy

Practice address

128 N Center St
Mount Olive, NC 28365-1701

Phone

(919) 658-4313

Fax

(919) 658-4315

NPI assigned

Sep 20, 2010

Last updated

Aug 10, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin WilsonNPI 1093956260

Title

Pharmacy Manager/President

Phone

(910) 285-8737

Specialties & licenses 2

Addresses

Other names 1

• Center Street Pharmacy Doing business as

Locations

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.

• Kevin M Wilson, R.PH.

  • Pharmacist
  • Wallace, NC
  • NPI 1093956260
  Authorized official Same address or phone

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1487962890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 N CENTER ST",
            "city": "MOUNT OLIVE",
            "state": "NC",
            "postal_code": "283651701",
            "telephone_number": "919-658-4313",
            "fax_number": "919-658-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 N CENTER ST",
            "city": "MOUNT OLIVE",
            "state": "NC",
            "postal_code": "283651701",
            "telephone_number": "919-658-4313",
            "fax_number": "919-658-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEBORO PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PHARMACY MANAGER/PRESIDENT",
        "authorized_official_telephone_number": "910-285-8737"
    },
    "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": "10585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center Street Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Faye Pollard, CSP
• Larry Price
• Terry Louise Price, LPC
• Natalie Rockell Ramirez
• Sonya F Rose, MS,CCC-SLP
• Misty Lynn Rouse, PA-C
• Brittney Sanderson, COTA
• Victoria Morgan Sanderson
• Garrison Seaman, FNP-C
• Skill Creations, Inc.

• Community/Retail Pharmacy in Mount Olive, NC
• Providers in Mount Olive, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.