NPIMap

Organization Active NPI

Midtown Pharmacy LLC

  • Community/Retail Pharmacy
  • Whitsett, NC
National Provider Identifier
1598858920
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
08335 Issued in NC
Legal business name
MIDTOWN PHARMACY LLC
Doing business as
Midtown Pharmacy
Practice address
941 Center Crest Dr Ste a
Whitsett, NC 27377
Phone
(336) 446-0099
Fax
(336) 446-0094
NPI assigned
Sep 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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

Authorized official

Name
Robert Cockman, PHARMD.
Title
Owner
Phone
(336) 446-0099

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 08335 NC Primary

Addresses

Primary practice location

941 Center Crest Dr Ste a
Whitsett, NC 27377

Mailing address

941 Center Crest Dr Ste a
Whitsett, NC 27377-8002
Phone (336) 446-0099

Other identifiers 2

IdentifierTypeStateIssuer
0418081MedicaidNC
2069940OtherPK

Other names 1

  • Midtown Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

941 Center Crest Dr
Ste A
Whitsett, NC 27377
Phone (336) 446-0099

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528675200000",
    "number": "1598858920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 CENTER CREST DR STE A",
            "city": "WHITSETT",
            "state": "NC",
            "postal_code": "273778002",
            "telephone_number": "336-446-0099",
            "fax_number": "336-446-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 CENTER CREST DR STE A",
            "city": "WHITSETT",
            "state": "NC",
            "postal_code": "27377",
            "telephone_number": "336-446-0099",
            "fax_number": "336-446-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2018-06-11",
        "status": "A",
        "authorized_official_last_name": "COCKMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-446-0099",
        "authorized_official_credential": "PHARMD."
    },
    "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": "08335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0418081",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2069940",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midtown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midtown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whitsett, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.