NPIMap

Organization Active NPI

Opportunities Industrialization Center, Inc

Doing business as OIC Pharmacy - Fairview

  • Clinic Pharmacy
  • Rocky Mount, NC
National Provider Identifier
1548816176
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
OPPORTUNITIES INDUSTRIALIZATION CENTER, INC
Doing business as
OIC Pharmacy - Fairview
Practice address
111 S Fairview Rd
Rocky Mount, NC 27801-6971
Phone
(252) 210-2013
Fax
(252) 446-9603
NPI assigned
Aug 9, 2019
Last updated
Nov 2, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
OPPORTUNITIES INDUSTRIALIZATION CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Authorized official

Name
Shirley Monk-Jones
Title
Billing Manager
Phone
(252) 212-3486

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU
Clinic Pharmacy 3336C0002X NU Primary
Community/Retail Pharmacy 3336C0003X NU

Addresses

Primary practice location

111 S Fairview Rd
Rocky Mount, NC 27801-6971

Mailing address

PO Box 2723
Rocky Mount, NC 27802-2723
Phone (252) 212-3486

Other names 1

  • OIC Pharmacy - Fairview Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Opportunities Industrialization Center Inc7 organizations share this tax ID, including this one
Part of
Opportunities Industrialization Center Inc

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1548816176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2723",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278022723",
            "telephone_number": "252-212-3486",
            "fax_number": "252-212-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S FAIRVIEW RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278016971",
            "telephone_number": "252-210-2013",
            "fax_number": "252-446-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPPORTUNITIES INDUSTRIALIZATION CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPPORTUNITIES INDUSTRIALIZATION CENTER, INC",
        "enumeration_date": "2019-08-09",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "MONK-JONES",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "252-212-3486"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OIC Pharmacy - Fairview",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OIC Pharmacy - Fairview",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.