Active NPI
Hope Mills Pharmacy LLC
Doing business as Clinic Pharmacy
- Community/Retail Pharmacy
- Hope Mills, NC
National Provider Identifier
1700983640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 13436
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3407726 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 0265025 | Medicaid | NC |
Other names 1
- Clinic Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180905000555 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 9133479678 | Practice locations: Hope Mills, NC |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
dba Fairmont Drug Company
- Community/Retail Pharmacy
- Fairmont, NC
- NPI 1841838372
Member Of
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.
-
- Pharmacist
- Clayton, NC
- NPI 1942778998
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
- Home Health Care of North Carolina
- Deborah Ann Hood, DNP
- Hope Family Care Home LLC
- Hope Mills Drug (dba The Medicine Shoppe)
- Hope Mills Pharmacy LLC (Clinic Pharmacy)
- Hope Mills Retirement Center, Inc.
- Hope Mills Urgent Care & Medical Clinic, PLLC
- Amanda F. Howard, PTA
- Crystal Ann Howard, PHARM D
- Derik Hunter
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.