Pharmacy Land

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

05651 Issued in NC

Legal business name

PHARMACY LAND

Practice address

137 N Fieldcrest Rd
Eden, NC 27288-3947

Phone

(336) 635-6450

Fax

(336) 635-6540

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Brenda B Land

Title

Owner

Phone

(336) 635-6450

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528089463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 N FIELDCREST RD",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272883947",
            "telephone_number": "336-635-6450",
            "fax_number": "336-635-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 N FIELDCREST RD",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272883947",
            "telephone_number": "336-635-6450",
            "fax_number": "336-635-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY LAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAND",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-635-6450"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "05651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0795658",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Eden, NC
• Providers in Eden, 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 22, 2020; 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.