NPIMap

Organization Active NPI

Center Pharmacy of Maiden Inc

  • Community/Retail Pharmacy
  • Maiden, NC
National Provider Identifier
1679633812
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
05234 Issued in NC
Legal business name
CENTER PHARMACY OF MAIDEN INC
Practice address
201 Island Ford Rd Ste D
Maiden, NC 28650-8733
Phone
(828) 428-0668
Fax
(828) 428-3303
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Authorized official

Name
Robert Stamey, RPHNPI 1043531916
Title
Pharm
Phone
(828) 428-0668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 05234 NC Primary

Addresses

Primary practice location

201 Island Ford Rd Ste D
Maiden, NC 28650-8733

Mailing address

PO Box 123
Maiden, NC 28650-0123
Phone (828) 428-0668

Other identifiers 3

IdentifierTypeStateIssuer
2070108OtherPK
0185769MedicaidNC
7700527MedicaidNC

Other names 1

  • TAS Drug Maiden Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081010000599 NC Part B Supplier - Mass Immunization (Roster Biller Only) 3577631084 Practice locations: Maiden, NC
O20100930045050 NC DME Supplier - Pharmacy 3577631084 Practice locations: Maiden, NC

National Provider Directory

National Provider Directory
Tax ID family
Center Pharmacy of Maiden Inc2 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.

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1679633812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 123",
            "city": "MAIDEN",
            "state": "NC",
            "postal_code": "286500123",
            "telephone_number": "828-428-0668",
            "fax_number": "828-428-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ISLAND FORD RD STE D",
            "city": "MAIDEN",
            "state": "NC",
            "postal_code": "286508733",
            "telephone_number": "828-428-0668",
            "fax_number": "828-428-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER PHARMACY OF MAIDEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "STAMEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHARM",
        "authorized_official_telephone_number": "828-428-0668",
        "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": "05234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2070108",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0185769",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7700527",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAS Drug Maiden",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maiden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.