Organization Active NPI

Carolina Respicare Pharmacy,Inc

  • Durable Medical Equipment & Medical Supplies
  • Lumberton, NC
National Provider Identifier
1609958362
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
00693 Issued in NC
Legal business name
CAROLINA RESPICARE PHARMACY,INC
Practice address
4701 Fayetteville Rd Ste a
Lumberton, NC 28358-2622
Phone
(910) 272-0044
Fax
(910) 272-0045
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Angela Gayle Edwards
Title
President
Phone
(910) 272-0044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 00693 NC Primary

Addresses

Primary practice location

4701 Fayetteville Rd Ste a
Lumberton, NC 28358-2622

Mailing address

4701 Fayetteville Rd Ste a
Lumberton, NC 28358-2622
Phone (910) 272-0044

Other identifiers 2

IdentifierTypeStateIssuer
DE2745MedicaidSC
7703196MedicaidNC

National Provider Directory

National Provider Directory

Locations

3035 Boone Trail Ext
Ste M
Fayetteville, NC 28304
Phone (910) 272-0044

4701 Fayetteville Rd
Ste A
Lumberton, NC 28358
Phone (910) 272-0044

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609958362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 FAYETTEVILLE RD STE A",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582622",
            "telephone_number": "910-272-0044",
            "fax_number": "910-272-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 FAYETTEVILLE RD STE A",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582622",
            "telephone_number": "910-272-0044",
            "fax_number": "910-272-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA RESPICARE PHARMACY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "GAYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-272-0044",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "00693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2745",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703196",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.