NPIMap

Organization Active NPI

Bladen Healthcare LLC

Doing business as Cape Fear Valley Bladenboro Pharmacy

  • Community/Retail Pharmacy
  • Bladenboro, NC
National Provider Identifier
1609731892
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BLADEN HEALTHCARE LLC
Doing business as
Cape Fear Valley Bladenboro Pharmacy
Practice address
102 S Main St
Bladenboro, NC 28320-8430
Phone
(910) 863-3949
Fax
(910) 863-3940
NPI assigned
Dec 19, 2025
Last updated
Dec 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Authorized official

Name
Joseph Bart Fiser
Title
VP of Rev Cycle and Managed Care
Phone
(910) 615-5572

Specialties & licenses 1

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

Addresses

Primary practice location

102 S Main St
Bladenboro, NC 28320-8430

Mailing address

102 S Main St
Bladenboro, NC 28320-8430
Phone (910) 863-3949

Other names 1

  • Cape Fear Valley Bladenboro Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bladen Healthcare LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

102 S Main St
Bladenboro, NC 28320
Phone (910) 863-3949

NPI Registry JSON

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

{
    "created_epoch": "1766102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1609731892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S MAIN ST",
            "city": "BLADENBORO",
            "state": "NC",
            "postal_code": "283208430",
            "telephone_number": "910-863-3949",
            "fax_number": "910-863-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S MAIN ST",
            "city": "BLADENBORO",
            "state": "NC",
            "postal_code": "283208430",
            "telephone_number": "910-863-3949",
            "fax_number": "910-863-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLADEN HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-19",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A",
        "authorized_official_last_name": "FISER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "BART",
        "authorized_official_title_or_position": "VP OF REV CYCLE AND MANAGED CARE",
        "authorized_official_telephone_number": "910-615-5572"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cape Fear Valley Bladenboro Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bladenboro, NC

Sources for this page

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