NPIMap

Organization Active NPI

Ingles Markets Inc

Doing business as Ingles Pharmacy #028

  • Community/Retail Pharmacy
  • Marshall, NC
National Provider Identifier
1679588529
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
09243 Issued in NC
Legal business name
INGLES MARKETS INC
Doing business as
Ingles Pharmacy #028
Practice address
5580 Hwy 25 70
Marshall, NC 28753
Phone
(828) 649-1636
Fax
(828) 649-1784
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Authorized official

Name
Mr. Stephen V Cucchi, RPH
Title
VP of Pharmacy
Phone
(828) 669-2941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 09243 NC Primary

Addresses

Primary practice location

5580 Hwy 25 70
Marshall, NC 28753

Mailing address

PO Box 603941
Charlotte, NC 28260-3941
Phone (828) 669-2941

Other identifiers 2

IdentifierTypeStateIssuer
0575415MedicaidNC
3405291OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • INGLES PHARMACY #028 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090727000367 NC Part B Supplier - Mass Immunization (Roster Biller Only) 5092867614 45 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Franklin, NC; Granite Falls, NC; Hayesville, NC; Hendersonville, NC; Kings Mountain, NC; Lake Lure, NC; Candler, NC; Lincolnton, NC…
O20100930011744 NC DME Supplier - PharmacyDME Supplier - Grocery Store 5092867614 Practice locations: Marshall, NC

Other NPIs on the same Medicare enrollment 45

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 45

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2185085Ingles Markets, Inc (Ingles Pharmacy #028)5580 Hwy 25/70, Marshall, NC 28753Certificate of waiverMay 28, 2028

National Provider Directory

National Provider Directory

Locations

5580 25 70 Hwy
Marshall, NC 28753
Phone (828) 649-1636

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1679588529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603941",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603941",
            "telephone_number": "828-669-2941",
            "fax_number": "828-669-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5580 HWY 25 70",
            "city": "MARSHALL",
            "state": "NC",
            "postal_code": "28753",
            "telephone_number": "828-649-1636",
            "fax_number": "828-649-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGLES MARKETS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "CUCCHI",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "VP OF PHARMACY",
        "authorized_official_telephone_number": "828-669-2941",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "09243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0575415",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3405291",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INGLES PHARMACY #028",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "INGLES PHARMACY #028",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marshall, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.