Brightstar Health Corp

Primary specialty

PharmacistTaxonomy code 183500000X

Legal business name

BRIGHTSTAR HEALTH CORP

Practice address

5515 Waldos Beach Rd
Fayetteville, NC 28306-5505

Phone

(910) 491-1090

Fax

(910) 425-5050

NPI assigned

Feb 28, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Derek Oteng BoatengNPI 1235466251

Title

Owner/Pharmacist

Phone

(910) 491-1090

Specialties & licenses 4

Addresses

Other names 1

• Health Matters Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Derek Oteng Boateng, RPH

  • Pharmacist
  • Fayetteville, NC
  • NPI 1235466251
  NPD Authorized official

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574208000000",
    "number": "1710488333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5515 WALDOS BEACH RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283065505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5515 WALDOS BEACH RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283065505",
            "telephone_number": "910-491-1090",
            "fax_number": "910-425-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSTAR HEALTH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2019-11-20",
        "status": "A",
        "authorized_official_last_name": "BOATENG",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "OTENG",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "910-491-1090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Matters Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brighter Future Home Healthcare
• Brighter Horizons Treatment and Assessment
• Brighter Outcomes LLC
• Brighter Pathway to Healthcare
• Brightstar Health Corp
• Keturah Latrice Brimfield, DOULA
• Molly Brink
• Melinda Poteet Brinkley, LCMHC-A
• Lorenzo Castillejo Briones, MD
• Hope Ashley Britt, LCSW

• Pharmacist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.