Active NPI
Southeast Family Pharmacy Inc
- Community/Retail Pharmacy
- Goldsboro, NC
National Provider Identifier
1609297316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 08383
- Legal business name
- SOUTHEAST FAMILY PHARMACY INC
- Practice address
- 223 NC Highway 111 S
Goldsboro, NC 27534-9253 - Phone
- (919) 778-1110
- NPI assigned
- Dec 23, 2013
- 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
- Jennifer A Sutton
- Title
- Pharmacist/President
- Phone
- (919) 778-1110
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 08383 | NC | Primary |
Addresses
Primary practice location
223 NC Highway 111 S
Goldsboro, NC 27534-9253
Mailing address
223 NC Highway 111 S
Goldsboro, NC 27534-9253
Phone (919) 778-1110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0965682 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387756800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1387756800000",
"number": "1609297316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 NC HIGHWAY 111 S",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275349253",
"telephone_number": "919-778-1110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 NC HIGHWAY 111 S",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275349253",
"telephone_number": "919-778-1110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEAST FAMILY PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-23",
"last_updated": "2013-12-23",
"status": "A",
"authorized_official_last_name": "SUTTON",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PHARMACIST/PRESIDENT",
"authorized_official_telephone_number": "919-778-1110"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NC",
"license": "08383",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0965682",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Goldsboro, NC
- Cailey Anne Solomon, PA-C
- Gary A Solomon, MPT
- Craig Alan Soltis, M. D.
- Nahia Zhaimara Soto, LCSW
- Soundside Orthotics & Prosthetics, LLC (Evergreen Prosthetics and Orthotics)
- Southeast Family Pharmacy Inc
- Southeastern Medical Oncology Center
- Southern Discount Drug, Inc. (Family Discount Drug)
- Southern Family Markets LLC (Southern Family Market)
- Megan Amber Spangler, LCSWA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.