Medical Park Pharmacy of Rockingham Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

06891 Issued in NC

Legal business name

MEDICAL PARK PHARMACY OF ROCKINGHAM INC

Doing business as

Medical Park Pharmacy of Rockingham

Practice address

921 S Long Dr
Ste 105
Rockingham, NC 28379-4874

Phone

(910) 417-3490

Fax

(910) 417-3499

NPI assigned

Jun 9, 2005

Organization subpart

No

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

Authorized official

Name

Ellis Marks, RPH

Title

Owner

Phone

(910) 417-3490

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MEDICAL PARK PHARMACY OF ROCKINGHAM Doing business as

Locations

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1528062403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 S LONG DR",
            "address_2": "STE 105",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794874",
            "telephone_number": "910-417-3490",
            "fax_number": "910-417-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 S LONG DR",
            "address_2": "STE 105",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794874",
            "telephone_number": "910-417-3490",
            "fax_number": "910-417-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PARK PHARMACY OF ROCKINGHAM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "ELLIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-417-3490",
        "authorized_official_credential": "RPH"
    },
    "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": "06891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2071711",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0775304",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL PARK PHARMACY OF ROCKINGHAM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Vandy McRae, LCMHC
• Qadirah Francine Mease, NP
• Medical Center Pharmacy Inc
• Medical Center Pharmacy Inc (Medical Center Pharmacy)
• Medical Center Pharmacy of Rockingham Inc LTC (Medical Center Pharmacy LTC)
• Mohamed H Merghani, MD
• Aubrie Anne Merta, NP
• Steven Dale Millen, ANP
• Aldrena Smith Miller
• Alton Miller, PHARMD

• Community/Retail Pharmacy in Rockingham, NC
• Providers in Rockingham, 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 Jun 17, 2015; 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.