NPIMap

Organization Active NPI

Roanoke Chowan Community Health Center Inc

Doing business as CPC Pharmacy

  • Community/Retail Pharmacy
  • Colerain, NC
National Provider Identifier
1720518574
Registry record updated Aug 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
13249 Issued in NC
Legal business name
ROANOKE CHOWAN COMMUNITY HEALTH CENTER INC
Doing business as
CPC Pharmacy
Practice address
109 W River St
Colerain, NC 27924-9006
Phone
(252) 356-1377
Fax
(252) 356-2899
NPI assigned
Jun 14, 2017
Last updated
Aug 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2017

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

Authorized official

Name
Angela Kent-Mitchell
Title
Pharmacy Director
Phone
(252) 332-3548

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 13249 NC Primary

Addresses

Primary practice location

109 W River St
Colerain, NC 27924-9006

Mailing address

109 W River St
Colerain, NC 27924-9006
Phone (252) 356-1377

Other identifiers 1

IdentifierTypeStateIssuer
2169802OtherPK

Other names 1

  • CPC Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Murfreesboro Primary Care6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

109 W River St
Colerain, NC 27924
Phone (252) 356-2404

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502064000000",
    "number": "1720518574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W RIVER ST",
            "city": "COLERAIN",
            "state": "NC",
            "postal_code": "279249006",
            "telephone_number": "252-356-1377",
            "fax_number": "252-356-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W RIVER ST",
            "city": "COLERAIN",
            "state": "NC",
            "postal_code": "279249006",
            "telephone_number": "252-356-1377",
            "fax_number": "252-356-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANOKE CHOWAN COMMUNITY HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-08-07",
        "status": "A",
        "authorized_official_last_name": "KENT-MITCHELL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "252-332-3548"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "13249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2169802",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CPC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CPC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colerain, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.