Active NPI
GPN Express Enterprise LLC
- Community/Retail Pharmacy
- Hampstead, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- GPN EXPRESS ENTERPRISE LLC
- Practice address
- 14057 US Highway 17 N
Suite 100
Hampstead, NC 28443-3770 - Phone
- (910) 319-6050
- Fax
- (910) 319-6045
- NPI assigned
- Sep 4, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nhat Quy Trinh
- Title
- Member
- Phone
- (910) 319-6050
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 10151 | NC | |
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
14057 US Highway 17 N
Suite 100
Hampstead, NC 28443-3770
Mailing address
14057 US Highway 17 N
Suite 100
Hampstead, NC 28443-3770
Phone (910) 319-6050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00432780 | Medicaid | NC | |
| 15085 | Other | NC | PHARMACY PERMIT |
Other names 1
- Village Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071117000147 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 0749378172 |
3 other NPIs on this enrollment Practice locations: Hampstead, NC |
| O20230816004204 | NC | Part B Supplier - Pharmacy | 4688036064 | Practice locations: Hampstead, NC |
| O20231027002675 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 4688036064 | Practice locations: Hampstead, NC |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
14057 US Highway 17
Ste 100
Hampstead, NC 28443
Phone (910) 319-6050
7910 US Hwy 117 S
Unit 110
Rocky Point, NC 28457
Phone (910) 210-2030
8207 Market St
Ste A
Wilmington, NC 28411
Phone (910) 686-1110
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Wilmington, NC
- NPI 1558525147
-
- Pharmacist
- Wilmington, NC
- NPI 1588956692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697155200000",
"number": "1609024595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14057 US HIGHWAY 17 N",
"address_2": "SUITE 100",
"city": "HAMPSTEAD",
"state": "NC",
"postal_code": "284433770",
"telephone_number": "910-319-6050",
"fax_number": "910-319-6045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14057 US HIGHWAY 17 N",
"address_2": "SUITE 100",
"city": "HAMPSTEAD",
"state": "NC",
"postal_code": "284433770",
"telephone_number": "910-319-6050",
"fax_number": "910-319-6045"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GPN EXPRESS ENTERPRISE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-04",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A",
"authorized_official_last_name": "TRINH",
"authorized_official_first_name": "NHAT QUY",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "910-319-6050"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NC",
"license": "10151",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00432780",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY PERMIT",
"identifier": "15085",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Village Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Village Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hampstead, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.