Active NPI
Pharming Company
- Community/Retail Pharmacy
- Clinton, NC
National Provider Identifier
1740923960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tara Jackson, PHARMD
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
408 Northeast Blvd
Clinton, NC 28328-2434
Mailing address
6205 Hobbton Hwy
Clinton, NC 28328-5803
Phone (105) 923-1219
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025109 | Medicaid | NC | |
| 7700182 | Medicaid | NC |
Other names 1
- Matthews Drug Store
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Surescripts |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220629000070 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 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 Company
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Clinton, NC
- NPI 1477255784
-
- Durable Medical Equipment & Medical Supplies
- Clinton, NC
- NPI 1710620935
Ownership & related parties
Subparts reporting this organization as parent 2
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Long Term Care Pharmacy
- Clinton, NC
- NPI 1477255784
-
- Durable Medical Equipment & Medical Supplies
- Clinton, NC
- NPI 1710620935
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Clinton, NC
- NPI 1396347605
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": "1649980800000",
"number": "1740923960",
"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": "105-923-1219",
"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": "NO",
"enumeration_date": "2022-04-15",
"last_updated": "2022-04-15",
"certification_date": "2022-04-15",
"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": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "025109",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7700182",
"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"
}
]
}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 Apr 15, 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.