Egb Enterprises Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

03991 Issued in NC

Legal business name

EGB ENTERPRISES INC

Doing business as

Village Prescription Center

Practice address

108 Old E Hwy 74/76
Lake Waccamaw, NC 28450-0148

Phone

(910) 646-3400

Fax

(910) 646-4056

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Eugene BrownNPI 1366593170

Title

Pres Phcst

Phone

(910) 646-3400

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• VILLAGE PRESCRIPTION CENTER Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eugene Glenn Brown Jr., RPH

  • Pharmacist
  • Lake Waccamaw, NC
  • NPI 1366593170
  NPD (past) Authorized official

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1669555603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "address_2": "PO",
            "city": "LAKE WACCAMAW",
            "state": "NC",
            "postal_code": "284500148",
            "telephone_number": "910-646-3400",
            "fax_number": "910-646-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 OLD E HWY 74/76",
            "city": "LAKE WACCAMAW",
            "state": "NC",
            "postal_code": "284500148",
            "telephone_number": "910-646-3400",
            "fax_number": "910-646-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGB ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "PRES PHCST",
        "authorized_official_telephone_number": "910-646-3400"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "03991",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2068421",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "245530",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VILLAGE PRESCRIPTION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Boys & Girls Homes of NC, Inc
• Jessica Bradley, LCMHCA
• Brenton Management Group Inc
• Eugene Glenn Brown Jr., RPH
• Egb Enterjprises (Village Prescription Center)
• Etcare Home Quality Management, Inc (Lake Waccamaw Senior Living)
• Joy Bowman Evans, PHARMD, MBA
• Hannah M Fisher, DPT
• Go Pharmacy Inc (Go Pharmacy)
• Go Pharmacy, Inc

• Community/Retail Pharmacy in Lake Waccamaw, NC
• Providers in Lake Waccamaw, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.