Organization Active NPI

Smoky Mountain Apothecaries No 2

Doing business as Asheville Compounding Pharmacy

  • Community/Retail Pharmacy
  • Asheville, NC
National Provider Identifier
1730121534
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
05382 Issued in NC
Legal business name
SMOKY MOUNTAIN APOTHECARIES NO 2
Doing business as
Asheville Compounding Pharmacy
Practice address
760 Merrimon Ave
Asheville, NC 28804-2456
Phone
(828) 255-8757
Fax
(828) 255-8829
NPI assigned
Jun 13, 2006
Last updated
Mar 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Authorized official

Name
John Clark, PHARMDNPI 1083720924
Title
Owner
Phone
(828) 255-8757

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 05382 NC Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

760 Merrimon Ave
Asheville, NC 28804-2456

Mailing address

760 Merrimon Ave
Asheville, NC 28804-2456
Phone (828) 255-8757

Other identifiers 2

IdentifierTypeStateIssuer
0116293MedicaidNC
2070359OtherPK

Other names 1

  • Asheville Compounding Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090807000359 NC Part B Supplier - Mass Immunization (Roster Biller Only) 5092868091 Practice locations: Asheville, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2134213Asheville Compounding Pharmacy760 Merrimon Avenue, Asheville, NC 28804Certificate of waiverJul 27, 2027

National Provider Directory

National Provider Directory

Locations

760 Merrimon Ave
Asheville, NC 28804
Phone (828) 255-8757

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1730121534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 MERRIMON AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288042456",
            "telephone_number": "828-255-8757",
            "fax_number": "828-255-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 MERRIMON AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288042456",
            "telephone_number": "828-255-8757",
            "fax_number": "828-255-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMOKY MOUNTAIN APOTHECARIES NO 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-255-8757",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "05382",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0116293",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2070359",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Asheville Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.