Organization Active NPI

Erwin Iga Inc

Doing business as Carlie C's Pharmacy #885

  • Community/Retail Pharmacy
  • Erwin, NC
National Provider Identifier
1508174814
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
10599 Issued in NC
Legal business name
ERWIN IGA INC
Doing business as
Carlie C's Pharmacy #885
Practice address
801 S 13TH St
Erwin, NC 28339-2635
Phone
(910) 897-5014
Fax
(910) 897-2801
NPI assigned
Sep 21, 2010
Last updated
Jul 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Authorized official

Name
Dr. Crystal N Dowless, PHARM.D.NPI 1780906495
Title
Pharmacy Manager
Phone
(910) 897-5014

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
Community/Retail Pharmacy 3336C0003X 10599 NC Primary

Addresses

Primary practice location

801 S 13TH St
Erwin, NC 28339-2635

Mailing address

801 S 13TH St
Erwin, NC 28339-2635
Phone (910) 897-5014

Other identifiers 2

IdentifierTypeStateIssuer
0435529MedicaidNC
3458038OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Carlie C's Pharmacy #885 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1508174814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S 13TH ST",
            "city": "ERWIN",
            "state": "NC",
            "postal_code": "283392635",
            "telephone_number": "910-897-5014",
            "fax_number": "910-897-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S 13TH ST",
            "city": "ERWIN",
            "state": "NC",
            "postal_code": "283392635",
            "telephone_number": "910-897-5014",
            "fax_number": "910-897-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERWIN IGA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "DOWLESS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "910-897-5014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "10599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0435529",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3458038",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carlie C's Pharmacy #885",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Erwin, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.