Organization Active NPI

Pink Hill Pharmacy Inc

  • Community/Retail Pharmacy
  • Pink Hill, NC
National Provider Identifier
1679677637
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
04576 Issued in NC
Legal business name
PINK HILL PHARMACY INC
Doing business as
Pink Hill Pharmacy Inc
Practice address
100 S Central Ave
Pink Hill, NC 28572-8083
Phone
(252) 568-4131
Fax
(252) 568-4088
NPI assigned
Sep 12, 2006
Last updated
Jun 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Authorized official

Name
Albert Rachide, RPH
Title
Owner/Pharmacist
Phone
(252) 568-4477

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 04576 NC Primary

Addresses

Primary practice location

100 S Central Ave
Pink Hill, NC 28572-8083

Mailing address

100 S Central Ave
Pink Hill, NC 28572-8083
Phone (252) 568-4131

Other identifiers 2

IdentifierTypeStateIssuer
0545400MedicaidNC
2069537OtherPK

Other names 1

  • PINK HILL PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

Locations

100 S Central Ave
Pink Hill, NC 28572
Phone (252) 568-4131

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1679677637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S CENTRAL AVE",
            "city": "PINK HILL",
            "state": "NC",
            "postal_code": "285728083",
            "telephone_number": "252-568-4131",
            "fax_number": "252-568-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S CENTRAL AVE",
            "city": "PINK HILL",
            "state": "NC",
            "postal_code": "285728083",
            "telephone_number": "252-568-4131",
            "fax_number": "252-568-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINK HILL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "RACHIDE",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "252-568-4477",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "04576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0545400",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2069537",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PINK HILL PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pink Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.