Organization Active NPI

Hope Mills Pharmacy LLC

Doing business as Clinic Pharmacy

  • Community/Retail Pharmacy
  • Hope Mills, NC
National Provider Identifier
1700983640
Registry record updated Jan 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
13436 Issued in NC
Legal business name
HOPE MILLS PHARMACY LLC
Doing business as
Clinic Pharmacy
Practice address
3736 S Main St
Hope Mills, NC 28348-1959
Phone
(910) 425-6106
Fax
(910) 425-1474
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2018

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

Authorized official

Name
Dr. Joseph Williams, PHARMD
Title
President
Phone
(910) 865-4135

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 00859 NC
Community/Retail Pharmacy 3336C0003X
Community/Retail Pharmacy 3336C0003X 13436 NC Primary

Addresses

Primary practice location

3736 S Main St
Hope Mills, NC 28348-1959

Mailing address

217 W Broad St
St Pauls, NC 28384-1533
Phone (910) 865-4135

Other identifiers 2

IdentifierTypeStateIssuer
3407726OtherOTHER ID NUMBER-COMMERCIAL NUMBER
0265025MedicaidNC

Other names 1

  • Clinic Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180905000555 NC Part B Supplier - Mass Immunization (Roster Biller Only) 9133479678 Practice locations: Hope Mills, NC

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

3736 S Main St
Hope Mills, NC 28348
Phone (910) 425-6106

Practitioners & affiliated clinicians

Practitioners 1

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517097600000",
    "number": "1700983640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 W BROAD ST",
            "city": "ST PAULS",
            "state": "NC",
            "postal_code": "283841533",
            "telephone_number": "910-865-4135",
            "fax_number": "910-865-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3736 S MAIN ST",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283481959",
            "telephone_number": "910-425-6106",
            "fax_number": "910-425-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE MILLS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-01-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-865-4135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "00859",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "13436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3407726",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0265025",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hope Mills, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2018; 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.