Active NPI
Medical Arts Pharmacy Inc
Doing business as Medical Arts Pharmacy
- Community/Retail Pharmacy
- Henderson, NC
National Provider Identifier
1720191661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 02741
- Legal business name
- MEDICAL ARTS PHARMACY INC
- Doing business as
- Medical Arts Pharmacy
Medical Arts Pharmacy of Henderson Inc - Practice address
- 253 Ruin Creek Rd
Henderson, NC 27536 - Phone
- (252) 492-3404
- Fax
- (252) 433-4649
- NPI assigned
- Aug 16, 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
- Charles Craig White
- Title
- Owner
- Phone
- (252) 492-3404
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Customized Equipment (DME) | 332BC3200X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 02741 | NC | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
253 Ruin Creek Rd
Henderson, NC 27536
Mailing address
253 Ruin Creek Rd
Henderson, NC 27536-5916
Phone (252) 492-3404
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0915181 | Medicaid | NC | |
| 7701377 | Medicaid | NC | |
| 2066101 | Other | PK |
Other names 2
- MEDICAL ARTS PHARMACY
- MEDICAL ARTS PHARMACY OF HENDERSON INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930014750 | NC | DME Supplier - Pharmacy | 5496874372 | Practice locations: Henderson, NC |
| O20140804001125 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 5496874372 | Practice locations: Henderson, NC |
| O20230921001456 | NC | Part B Supplier - Independent Clinical Laboratory | 5496874372 | Practice locations: Henderson, NC |
National Provider Directory
National Provider Directory- Tax ID family
- Medical Arts Pharmacy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacist
- Henderson, NC
- NPI 1700441185
-
dba Medical Arts Pharmacy
- Long Term Care Pharmacy
- Henderson, NC
- NPI 1427614080
Locations
253 Ruin Creek Rd
#0
Henderson, NC 27536
Phone (252) 492-3404
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Henderson, NC
- NPI 1194033811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762819200000",
"number": "1720191661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "253 RUIN CREEK RD",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275365916",
"telephone_number": "252-492-3404",
"fax_number": "252-433-4649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "253 RUIN CREEK RD",
"address_2": "0",
"city": "HENDERSON",
"state": "NC",
"postal_code": "27536",
"telephone_number": "252-492-3404",
"fax_number": "252-433-4649"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL ARTS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-16",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "CRAIG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "252-492-3404"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NC",
"license": "02741",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0915181",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7701377",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2066101",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MEDICAL ARTS PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MEDICAL ARTS PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MEDICAL ARTS PHARMACY OF HENDERSON INC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Henderson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.