Active NPI
NC Pharmacy Group, LLC
- Durable Medical Equipment & Medical Supplies
- Nashville, NC
National Provider Identifier
1750930780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- NC PHARMACY GROUP, LLC
- Doing business as
- Drugco Pharmacy - Nashville
- Practice address
- 163 Nashville Commons Dr
Nashville, NC 27856-1823 - Phone
- (252) 677-5565
- NPI assigned
- Sep 11, 2019
- 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
- Louis Vivian Mann
- Title
- VP Operations
- Phone
- (252) 537-7010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
163 Nashville Commons Dr
Nashville, NC 27856-1823
Mailing address
107 Smith Church Rd
Roanoke Rapids, NC 27870-4911
Phone (252) 537-7010
Other names 1
- Drugco Pharmacy - Nashville
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200102002363 | NC | DME Supplier - Pharmacy | 8527490234 | Practice locations: Nashville, 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
- Drugco Pharmacy - Nashville
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Nashville, NC
- NPI 1255758769
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
- Nashville, NC
- NPI 1942896857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568160000000",
"number": "1750930780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 SMITH CHURCH RD",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "278704911",
"telephone_number": "252-537-7010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 NASHVILLE COMMONS DR",
"city": "NASHVILLE",
"state": "NC",
"postal_code": "278561823",
"telephone_number": "252-677-5565"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NC PHARMACY GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-11",
"last_updated": "2019-09-11",
"status": "A",
"authorized_official_last_name": "MANN",
"authorized_official_first_name": "LOUIS",
"authorized_official_middle_name": "VIVIAN",
"authorized_official_title_or_position": "VP OPERATIONS",
"authorized_official_telephone_number": "252-537-7010"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Drugco Pharmacy - Nashville",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Nashville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.