Active NPI
Morris Edward Hedgepeth, RPH
- Pharmacist
- Henderson, NC
National Provider Identifier
1528328267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4743
- Practice address
- 1005 Nicholas St
Henderson, NC 27536-4945 - Phone
- (252) 438-5128
- Fax
- (252) 438-5129
- NPI assigned
- May 28, 2012
- Last updated
- May 28, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4743 | NC | Primary |
Addresses
Primary practice location
1005 Nicholas St
Henderson, NC 27536-4945
Mailing address
3 Lakeside Dr
Henderson, NC 27536-4724
Phone (252) 438-8030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4743 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southside Drug Company Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Southside Drug Company
- Community/Retail Pharmacy
- Henderson, NC
- NPI 1235222662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338163200000",
"number": "1528328267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 LAKESIDE DR",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275364724",
"telephone_number": "252-438-8030",
"fax_number": "252-438-5129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 NICHOLAS ST",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275364945",
"telephone_number": "252-438-5128",
"fax_number": "252-438-5129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDGEPETH",
"first_name": "MORRIS",
"middle_name": "EDWARD",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-28",
"last_updated": "2012-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "4743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NC
- Lyric Hazel
- Health Management Services Inc
- Healthcare Billing Solutions Inc (Crystal Coast Hearing Solutions)
- Healthcore Resource Inc
- Healthy Mind Healthy Me PLLC
- Taylor Katherine Heilman
- Helping Hands in Home Care Services, Inc.
- Henderson Clinic for Women PA (Henderson Clinic For Women)
- Henderson Emergency Physicians, PLLC
- Henderson Operator LLC (Henderson Health and Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.