NPIMap

Organization Active NPI

Pharming Company

  • Durable Medical Equipment & Medical Supplies
  • Clinton, NC
National Provider Identifier
1710620935
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PHARMING COMPANY
Practice address
408 Northeast Blvd
Clinton, NC 28328-2434
Phone
(910) 592-3121
Fax
(910) 592-3144
NPI assigned
Apr 15, 2022
Organization subpart
Yes
Parent organization
PHARMING COMPANYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Authorized official

Name
Dr. Tara Jackson, PHARMDNPI 1396347605
Title
Owner/Pharmacist
Phone
(910) 592-3121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic FitterGroup: 193400000X SINGLE SPECIALTY GROUP 225000000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X

Addresses

Primary practice location

408 Northeast Blvd
Clinton, NC 28328-2434

Mailing address

6205 Hobbton Hwy
Clinton, NC 28328-5803
Phone (910) 305-9338

Other identifiers 3

IdentifierTypeStateIssuer
7700182MedicaidNC
3564MedicaidNC
0476POtherNCBLUE CROSS BLUE SHIELD

Other names 1

  • Matthews Drug Store Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Surescripts

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220629000277 NC Part B Supplier - Pharmacy 7214317817 Practice locations: Clinton, NC
O20220829002521 NC DME Supplier - PharmacyDME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 7214317817 Practice locations: Clinton, NC

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Pharming Company3 organizations share this tax ID, including this one
Part of
Pharming Company

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1649980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1710620935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6205 HOBBTON HWY",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283285803",
            "telephone_number": "910-305-9338",
            "fax_number": "910-592-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 NORTHEAST BLVD",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282434",
            "telephone_number": "910-592-3121",
            "fax_number": "910-592-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMING COMPANY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHARMING COMPANY",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-08-22",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "910-592-3121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7700182",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3564",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0476P",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Surescripts",
            "affiliation": "N",
            "endpointDescription": "QS1 Powerline",
            "address_1": "408 Northeast Blvd",
            "city": "Clinton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283282434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Matthews Drug Store",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Matthews Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.