NPIMap

Organization Active NPI

Tarheel Town Pharmacy, LLC

Doing business as Tarheel Town Pharmacy

  • Community/Retail Pharmacy
  • Carrboro, NC
National Provider Identifier
1598295784
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
13276 Issued in NC
Legal business name
TARHEEL TOWN PHARMACY, LLC
Doing business as
Tarheel Town Pharmacy
Practice address
370 E Main St Ste 160
Carrboro, NC 27510-1866
Phone
(919) 904-6474
NPI assigned
Jun 19, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Malleshappa M Baba
Title
Owner
Phone
(919) 240-7827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 13276 NC Primary

Addresses

Primary practice location

370 E Main St Ste 160
Carrboro, NC 27510-1866

Mailing address

370 E Main St Ste 160
Carrboro, NC 27510-1866
Phone (919) 904-6474

Other names 1

  • Tarheel Town Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180620003160 NC Part B Supplier - Mass Immunization (Roster Biller Only) 7517212293 Practice locations: Carrboro, NC

National Provider Directory

National Provider Directory
Tax ID family
Tarheel Town Pharmacy LLC2 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.

Locations

370 E Main St
Ste 160
Carrboro, NC 27510
Phone (919) 240-7305

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1598295784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 E MAIN ST STE 160",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101866",
            "telephone_number": "919-904-6474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E MAIN ST STE 160",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101866",
            "telephone_number": "919-904-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARHEEL TOWN PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BABA",
        "authorized_official_first_name": "MALLESHAPPA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-240-7827"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "13276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tarheel Town Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tarheel Town Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.