Organization Active NPI

Medical Pharmacy of Albemarle, Inc.

  • Community/Retail Pharmacy
  • Albemarle, NC
National Provider Identifier
1629334354
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2397 Issued in NC
Legal business name
MEDICAL PHARMACY OF ALBEMARLE, INC.
Practice address
320 Yadkin St
Albemarle, NC 28001-3447
Phone
(704) 982-9179
Fax
(704) 983-5557
NPI assigned
Apr 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

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

Authorized official

Name
Mr. Andrew Coleman Castelloe
Title
Pharmacist
Phone
(704) 982-9179

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2397 NC Primary

Addresses

Primary practice location

320 Yadkin St
Albemarle, NC 28001-3447

Mailing address

320 Yadkin St
Albemarle, NC 28001-3447
Phone (704) 982-9179

Other identifiers 2

IdentifierTypeStateIssuer
0845149MedicaidNC
3403259OtherNCPDP PROVIDER INDENTIFICATION NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1629334354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 YADKIN ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013447",
            "telephone_number": "704-982-9179",
            "fax_number": "704-983-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 YADKIN ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013447",
            "telephone_number": "704-982-9179",
            "fax_number": "704-983-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PHARMACY OF ALBEMARLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "CASTELLOE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "COLEMAN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "704-982-9179",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "2397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0845149",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER INDENTIFICATION NUMBER",
            "identifier": "3403259",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albemarle, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.