Active NPI
Lookout Pharmacy LLC
- Community/Retail Pharmacy
- Beaufort, NC
National Provider Identifier
1508576158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- LOOKOUT PHARMACY LLC
- Practice address
- 1513 Live Oak St
Beaufort, NC 28516-1518 - Phone
- (252) 838-1787
- Fax
- (252) 504-2805
- NPI assigned
- Dec 5, 2022
- Last updated
- May 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas C Phinizy, PHARMD
- Title
- Partner/Manager
- Phone
- (252) 814-7420
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary | |
| Compounding Pharmacy | 3336C0004X | NU |
Addresses
Primary practice location
1513 Live Oak St
Beaufort, NC 28516-1518
Mailing address
PO Box 828
Morehead City, NC 28557-0828
Phone (252) 838-1787
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508576158 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251111000814 | NC | Part B Supplier - Pharmacy | 9335630029 | Practice locations: Beaufort, NC |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pharmacist
- Beaufort, NC
- NPI 1073224374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683849600000",
"number": "1508576158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 828",
"city": "MOREHEAD CITY",
"state": "NC",
"postal_code": "285570828",
"telephone_number": "252-838-1787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1513 LIVE OAK ST",
"city": "BEAUFORT",
"state": "NC",
"postal_code": "285161518",
"telephone_number": "252-838-1787",
"fax_number": "252-504-2805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOOKOUT PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-05",
"last_updated": "2023-05-12",
"certification_date": "2023-05-12",
"status": "A",
"authorized_official_last_name": "PHINIZY",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PARTNER/MANAGER",
"authorized_official_telephone_number": "252-814-7420",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508576158",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaufort, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.