NPIMap

Organization Active NPI

Madison Pharmacy and Homecare

  • Community/Retail Pharmacy
  • Madison, NC
National Provider Identifier
1750446175
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
08380 Issued in NC
Legal business name
MADISON PHARMACY AND HOMECARE
Doing business as
Madison Pharmacy and Homecare
Practice address
125 W Murphy St
Madison, NC 27025-1923
Phone
(336) 548-0049
Fax
(336) 548-0059
NPI assigned
Dec 26, 2006
Last updated
Mar 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Authorized official

Name
Rhonda Caldwell, PHARMDNPI 1306197025
Title
Owner/President
Phone
(336) 548-0049

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 08380 NC Primary

Addresses

Primary practice location

125 W Murphy St
Madison, NC 27025-1923

Mailing address

125 W Murphy St
Madison, NC 27025-1923
Phone (336) 548-0049

Other identifiers 2

IdentifierTypeStateIssuer
0795808MedicaidNC
2069951OtherPK

Other names 1

  • MADISON PHARMACY AND HOMECARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930086283 NC DME Supplier - Pharmacy 7113134404 Practice locations: Madison, NC
O20101030000038 NC Part B Supplier - Mass Immunization (Roster Biller Only) 7113134404 Practice locations: Madison, 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
Madison Pharmacy Homecare4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1750446175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W MURPHY ST",
            "city": "MADISON",
            "state": "NC",
            "postal_code": "270251923",
            "telephone_number": "336-548-0049",
            "fax_number": "336-548-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W MURPHY ST",
            "city": "MADISON",
            "state": "NC",
            "postal_code": "270251923",
            "telephone_number": "336-548-0049",
            "fax_number": "336-548-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON PHARMACY AND HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "336-548-0049",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "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": "08380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0795808",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2069951",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MADISON PHARMACY AND HOMECARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.