Pembroke Drug Holdings, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

13076 Issued in NC

Legal business name

PEMBROKE DRUG HOLDINGS, LLC

Doing business as

Pembroke Drug

Practice address

205 W 3Rd St
Pembroke, NC 28372-8768

Phone

(910) 775-9209

Fax

(910) 775-9124

NPI assigned

Oct 17, 2016

Last updated

Sep 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Deese

Title

Member

Phone

(910) 734-4896

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Pembroke Drug Doing business as

Tax ID family

Pembroke Drug2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pembroke Drug Holdings, LLC

  • Long Term Care Pharmacy
  • Pembroke, NC
  • NPI 1912682113
  NPD tax ID

Locations

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1588115463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W 3RD ST",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283728768",
            "telephone_number": "910-734-4896",
            "fax_number": "910-775-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W 3RD ST",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283728768",
            "telephone_number": "910-775-9209",
            "fax_number": "910-775-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEMBROKE DRUG HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2025-09-19",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "DEESE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "910-734-4896"
    },
    "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": "13076",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588115463",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2165767",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pembroke Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pembroke Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pembroke Center for Wellness, Inc
• Pembroke Center for Wellness, Inc
• Pembroke Drug Center (Healthkeeperz Pharmacy)
• Pembroke Drug Center, Inc. (Healthkeeperz)
• Pembroke Drug Center, Inc. (Healthkeeperz DME)
• Pembroke Drug Holdings, LLC
• Pembroke Medical Center, Inc.
• Pembroke Optometric Clinic PA
• Pembroke Rescue Squad
• Pembroke Rescue Squad, Inc. (Pembroke Rescue Squad)

• Community/Retail Pharmacy in Pembroke, NC
• Providers in Pembroke, 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 Sep 19, 2025; 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.