NPIMap

Organization Active NPI

Carolina Apothecary Inc

  • Community/Retail Pharmacy
  • Reidsville, NC
National Provider Identifier
1669552303
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
03796 Issued in NC
Legal business name
CAROLINA APOTHECARY INC
Practice address
726 S Scales St
Reidsville, NC 27320-5330
Phone
(336) 349-8221
Fax
(336) 349-9444
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Authorized official

Name
Charles Britt, RPH
Title
President/Owner
Phone
(336) 394-1100

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 03796 NC Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

726 S Scales St
Reidsville, NC 27320-5330

Mailing address

PO Box 29
Reidsville, NC 27323-0029
Phone (336) 349-8221

Other identifiers 2

IdentifierTypeStateIssuer
0795542MedicaidNC
2066675OtherPK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050830001060 NC Part B Supplier - Mass Immunization (Roster Biller Only) 5698706570 Practice locations: Reidsville, NC

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Carolina Apothecary 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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1669552303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273230029",
            "telephone_number": "336-349-8221",
            "fax_number": "336-349-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 S SCALES ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205330",
            "telephone_number": "336-349-8221",
            "fax_number": "336-349-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA APOTHECARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "BRITT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "336-394-1100",
        "authorized_official_credential": "RPH"
    },
    "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": "03796",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0795542",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2066675",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reidsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.

Verify at the official NPI Registry.