Active NPI
DLC Apothecary Inc
- Community/Retail Pharmacy
- Morganton, NC
National Provider Identifier
1619794237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- DLC APOTHECARY INC
- Practice address
- 500 S Sterling St
Morganton, NC 28655-3573 - Phone
- (828) 433-6353
- NPI assigned
- Sep 24, 2024
- 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
- Jason Lisk, PHARMD
- Title
- Pharmacist Manager
- Phone
- (803) 417-0439
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
500 S Sterling St
Morganton, NC 28655-3573
Mailing address
PO Box 580
Newland, NC 28657-0580
Phone (803) 417-0439
Other names 1
- Morganton Drug
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260214000506 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 0446730816 | Practice locations: Morganton, NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Boone, NC
- NPI 1649509563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727136000000",
"number": "1619794237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 580",
"city": "NEWLAND",
"state": "NC",
"postal_code": "286570580",
"telephone_number": "803-417-0439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S STERLING ST",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286553573",
"telephone_number": "828-433-6353"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DLC APOTHECARY INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-24",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A",
"authorized_official_last_name": "LISK",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "PHARMACIST MANAGER",
"authorized_official_telephone_number": "803-417-0439",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Morganton Drug",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Morganton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.