NPIMap

Organization Active NPI

Ocracoke Health Center, Inc.

Doing business as Ocracoke Health Center Pharmacy

  • Community/Retail Pharmacy
  • Ocracoke, NC
National Provider Identifier
1689358467
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
OCRACOKE HEALTH CENTER, INC.
Doing business as
Ocracoke Health Center Pharmacy
Practice address
309 Back Rd
Ocracoke, NC 27960-1007
Phone
(252) 928-1511
Fax
(252) 928-7391
NPI assigned
Jun 13, 2023
Last updated
Jun 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Authorized official

Name
Jamie Carter
Title
Revenue Cycle and Billing Manager
Phone
(252) 925-0058

Specialties & licenses 1

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

Addresses

Primary practice location

309 Back Rd
Ocracoke, NC 27960-1007

Mailing address

PO Box 543
Ocracoke, NC 27960-0543
Phone (252) 928-1511

Other names 1

  • OCRACOKE HEALTH CENTER PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241111001319 NC Part B Supplier - Pharmacy 8224221973 Practice locations: Ocracoke, NC

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Ocracoke Health Center Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Okracoke Health CenterEngelhard, NC, CCN 341011 Federally qualified health center Operational/Managerial Control (100%) Aug 15, 2016
Manteo Community Health CenterManteo, NC, CCN B61011 Federally qualified health center Operational/Managerial Control (100%) Jul 10, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1689358467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 543",
            "city": "OCRACOKE",
            "state": "NC",
            "postal_code": "279600543",
            "telephone_number": "252-928-1511",
            "fax_number": "252-928-7391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 BACK RD",
            "city": "OCRACOKE",
            "state": "NC",
            "postal_code": "279601007",
            "telephone_number": "252-928-1511",
            "fax_number": "252-928-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCRACOKE HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "REVENUE CYCLE AND BILLING MANAGER",
        "authorized_official_telephone_number": "252-925-0058"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OCRACOKE HEALTH CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocracoke, NC

Sources for this page

Verify at the official NPI Registry.