Mack'S 1St RX Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5995 Issued in NC

Legal business name

MACK'S 1ST RX PHARMACY INC

Practice address

8782 NC Hwy 90 E
Stony Point, NC 28678

Phone

(704) 585-2102

Fax

(704) 585-9440

NPI assigned

Jul 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Larry N Marlin

Title

President/Owner

Phone

(704) 872-0880

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa C Bass, PHARMD

  • Pharmacist
  • Stony Point, NC
  • NPI 1184113953
  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528097441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 N CENTER ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773222",
            "telephone_number": "704-872-0880",
            "fax_number": "704-871-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8782 NC HWY 90 E",
            "city": "STONY POINT",
            "state": "NC",
            "postal_code": "28678",
            "telephone_number": "704-585-2102",
            "fax_number": "704-585-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACK'S 1ST RX PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARLIN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "704-872-0880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "5995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0025148",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sonya Lynn Grant, PTA
• Gerri P. Howell, CDA
• Orthotic Care LLC
• Pamela Smith
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• Stony Point Family Medicine PA

• Community/Retail Pharmacy in Stony Point, NC
• Providers in Stony Point, 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.