NPIMap

Organization Active NPI

Futrell Pharmacy Service Inc

  • Community/Retail Pharmacy
  • Rich Square, NC
National Provider Identifier
1619060845
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
09355 Issued in NC
Legal business name
FUTRELL PHARMACY SERVICE INC
Doing business as
Futrell Pharmacy Service Inc
Practice address
124 S Main St
Rich Square, NC 27869
Phone
(252) 539-2552
Fax
(252) 539-4205
NPI assigned
Oct 2, 2006
Last updated
May 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
William Futrell Jr., PHARMDNPI 1578873212
Title
Owner and Pharmacist
Phone
(252) 534-6001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 09355 NC Primary

Addresses

Primary practice location

124 S Main St
Rich Square, NC 27869

Mailing address

PO Box 547
Rich Square, NC 27869-0547
Phone (252) 539-2552

Other identifiers 4

IdentifierTypeStateIssuer
7705154MedicaidNC
0665117MedicaidNC
0463790002MedicaidNC
2065886OtherPK

Other names 1

  • Futrell Pharmacy Service Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930084133 NC DME Supplier - Pharmacy 5395863567 Practice locations: Rich Square, NC
O20110105000894 NC Part B Supplier - Mass Immunization (Roster Biller Only) 5395863567 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Jackson, NC; Littleton, NC; Rich Square, NC; Warrenton, NC

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2183150Futrell Pharmacy124 S Main Street, Rich Square, NC 27869Certificate of waiverApr 29, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Futrell Pharmacy124 S Main Street, Rich Square, NC 27869(252) 539-2552 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Hospital Beds (Electric)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Powe… Accepts assignmentParticipating since Nov 8, 2010

National Provider Directory

National Provider Directory
Tax ID family
Futrell Pharmacy Service Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1619060845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "RICH SQUARE",
            "state": "NC",
            "postal_code": "278690547",
            "telephone_number": "252-539-2552",
            "fax_number": "252-539-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S MAIN ST",
            "city": "RICH SQUARE",
            "state": "NC",
            "postal_code": "27869",
            "telephone_number": "252-539-2552",
            "fax_number": "252-539-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUTRELL PHARMACY SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "FUTRELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER AND PHARMACIST",
        "authorized_official_telephone_number": "252-534-6001",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "09355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7705154",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0665117",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0463790002",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2065886",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Futrell Pharmacy Service Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rich Square, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.