Organization Active NPI

Todds Northside Professional Pharmacy,Inc.

  • Community/Retail Pharmacy
  • Elizabeth City, NC
National Provider Identifier
1679850879
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
05351 Issued in NC
Legal business name
TODDS NORTHSIDE PROFESSIONAL PHARMACY,INC.
Practice address
1141 N Road St
Elizabeth City, NC 27909-3354
Phone
(252) 331-1333
Fax
(252) 331-1911
NPI assigned
Nov 16, 2011
Last updated
Nov 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Authorized official

Name
William Winfred Owens
Title
Pharmacist/Owner
Phone
(252) 331-1333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 05351 NC Primary

Addresses

Primary practice location

1141 N Road St
Elizabeth City, NC 27909-3354

Mailing address

1141 N Road St
Elizabeth City, NC 27909-3354
Phone (252) 331-1333

National Provider Directory

National Provider Directory

Locations

1141 N Road St
Elizabeth Cty, NC 27909
Phone (252) 331-1333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1679850879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 N ROAD ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093354",
            "telephone_number": "252-331-1333",
            "fax_number": "252-331-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 N ROAD ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093354",
            "telephone_number": "252-331-1333",
            "fax_number": "252-331-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODDS NORTHSIDE PROFESSIONAL PHARMACY,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "WINFRED",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "252-331-1333"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "05351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.