Organization Active NPI

CVS Pharmacy

  • Pharmacist
  • Lumberton, NC
National Provider Identifier
1659654200
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
8804 Issued in NC
Legal business name
CVS PHARMACY
Practice address
2771 W 5TH St
Lumberton, NC 28358-7819
Phone
(910) 739-8144
NPI assigned
Sep 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Authorized official

Name
Kenneth Norman Tatum Sr.
Title
Pharmacist in Charge
Phone
(910) 739-8144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X 8804 NC Primary

Addresses

Primary practice location

2771 W 5TH St
Lumberton, NC 28358-7819

Mailing address

2771 W 5TH St
Lumberton, NC 28358-7819

National Provider Directory

National Provider Directory

Locations

2771 W 5th St
Lumberton, NC 28358
Phone (336) 739-8144

NPI Registry JSON

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1659654200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2771 W 5TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283587819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2771 W 5TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283587819",
            "telephone_number": "910-739-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "TATUM",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "910-739-8144",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "8804",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 20, 2011; 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.