Pharmblue North Carolina LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

12931 Issued in NC

Legal business name

PHARMBLUE NORTH CAROLINA LLC

Practice address

300 N Grace St
Suite 150
Rocky Mount, NC 27804-5345

Phone

(800) 609-0822

Fax

(844) 873-8761

NPI assigned

Mar 15, 2016

Organization subpart

No

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

Authorized official

Name

Michael Nelson

Title

Ceo

Phone

(724) 779-4720

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1700247970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PENNWOOD PL",
            "address_2": "SUITE 300",
            "city": "WARRENDALE",
            "state": "PA",
            "postal_code": "150866512",
            "telephone_number": "724-779-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N GRACE ST",
            "address_2": "SUITE 150",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278045345",
            "telephone_number": "800-609-0822",
            "fax_number": "844-873-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMBLUE NORTH CAROLINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "724-779-4720"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "12931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel L Perry, P.A.-C
• Tamara Perry
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• Tiffany Lynn Peterson, D.C.
• Christina R Peyton, M.D.
• Charles T Phillips, PA
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• Lizza M Phillips
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• Aaron Gaetano Pico, PA

• Community/Retail Pharmacy in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.