Active NPI
Medical Pharmacy of Albemarle, Inc.
- Community/Retail Pharmacy
- Albemarle, NC
National Provider Identifier
1629334354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2397
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0845149 | Medicaid | NC | |
| 3403259 | Other | NCPDP PROVIDER INDENTIFICATION NUMBER |
National Provider Directory
National Provider DirectoryNPI 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.