NPIMap

Organization Active NPI

Carolina Apothecary Inc

  • Durable Medical Equipment & Medical Supplies
  • Reidsville, NC
National Provider Identifier
1740278167
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
00954 Issued in NC
Legal business name
CAROLINA APOTHECARY INC
Practice address
726 S Scales St
Reidsville, NC 27320-5330
Phone
(336) 342-0071
Fax
(336) 342-7660
NPI assigned
Oct 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Mr. Charles Arnold Britt, R PH
Title
President
Phone
(336) 394-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 00954 NC Primary

Addresses

Primary practice location

726 S Scales St
Reidsville, NC 27320-5330

Mailing address

PO Box 29
Reidsville, NC 27323-0029
Phone (336) 342-0071

Other identifiers 6

IdentifierTypeStateIssuer
8207703OtherNCUNITED HEALTH CARE
7700018MedicaidNC
04917OtherNCBCBS OF NC
3408748MedicaidNC
4804OtherNCPARTNERS
9102124MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930042454 NC DME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Oxygen & Equipment 5698706570 Practice locations: Reidsville, 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
Carolina Apothecary Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

726 S Scales St
Reidsville, NC 27320
Phone (336) 342-0071

126 S Scales St
Reidsville, NC 27320
Phone (336) 342-0071

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1740278167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273230029",
            "telephone_number": "336-342-0071",
            "fax_number": "336-342-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 S SCALES ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205330",
            "telephone_number": "336-342-0071",
            "fax_number": "336-342-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA APOTHECARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "BRITT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-394-1100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R PH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "00954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "8207703",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7700018",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "04917",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408748",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "4804",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9102124",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reidsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.