NPIMap

Organization Active NPI

Pinehurst Medical Clinic Inc

Doing business as Pinehurst Medical Clinic Pharmacy

  • Community/Retail Pharmacy
  • Pinehurst, NC
National Provider Identifier
1760784359
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
10639 Issued in NC
Legal business name
PINEHURST MEDICAL CLINIC INC
Doing business as
Pinehurst Medical Clinic Pharmacy
Practice address
15 Regional Dr
2ND Floor Lobby
Pinehurst, NC 28374-8850
Phone
(910) 235-3204
Fax
(910) 235-3410
NPI assigned
Dec 2, 2010
Last updated
Mar 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Authorized official

Name
Craig Crowe
Title
Pharmacy Manager
Phone
(910) 692-2064

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 10639 NC Primary

Addresses

Primary practice location

15 Regional Dr
2ND Floor Lobby
Pinehurst, NC 28374-8850

Mailing address

15 Regional Dr
2ND Floor Lobby
Pinehurst, NC 28374-8850
Phone (910) 235-3204

Other names 1

  • Pinehurst Medical Clinic Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
PMC Laboratory4 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.

Locations

15 Regional Dr
Fl 2
Pinehurst, NC 28374
Phone (910) 235-3204

1411 Greenway Ct
Sanford, NC 27330
Phone (919) 292-1878

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1760784359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 REGIONAL DR",
            "address_2": "2ND FLOOR LOBBY",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748850",
            "telephone_number": "910-235-3204",
            "fax_number": "910-235-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 REGIONAL DR",
            "address_2": "2ND FLOOR LOBBY",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748850",
            "telephone_number": "910-235-3204",
            "fax_number": "910-235-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEHURST MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "CROWE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "910-692-2064"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "10639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinehurst Medical Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pinehurst, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.