Organization Active NPI

Unity

Doing business as Unity Pharmacy

  • Community/Retail Pharmacy
  • Pembroke, NC
National Provider Identifier
1669687810
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
10144 Issued in NC
Legal business name
UNITY
Doing business as
Unity Pharmacy
Practice address
68 Three Hunts Dr
Unit E
Pembroke, NC 28372-7318
Phone
(910) 521-7481
Fax
(910) 521-7482
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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

Authorized official

Name
Thomas Ennis, PHARMD
Title
Pharmacy Manager
Phone
(910) 521-7481

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 10144 NC Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

68 Three Hunts Dr
Unit E
Pembroke, NC 28372-7318

Mailing address

PO Box 450
Pembroke, NC 28372-0450
Phone (910) 521-7481

Other identifiers 2

IdentifierTypeStateIssuer
3411751OtherNCPDP PROVIDER IDENTIFICATION NUMBER
0785791MedicaidNC

Other names 1

  • Unity Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Unity2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

68 Three Hunts Dr
Ste E
Pembroke, NC 28372
Phone (910) 521-7481

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1669687810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283720450",
            "telephone_number": "910-521-7481",
            "fax_number": "910-521-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 THREE HUNTS DR",
            "address_2": "UNIT E",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727318",
            "telephone_number": "910-521-7481",
            "fax_number": "910-521-7482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "ENNIS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "910-521-7481",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "10144",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3411751",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0785791",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unity Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pembroke, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; 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.