Foothills Pharmacy Inc
Organization Active NPI Pharmacist · Millers Creek, NC
NPI 1770620205 · NPPES record last updated Aug 16, 2022
Key facts
- NPI
- 1770620205
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacist 183500000X
- License
- 04267 (NC)
- Legal business name
- FOOTHILLS PHARMACY INC
- Practice address
- 2924 N NC Highway 16
Millers Creek, NC 28651-8884 - Phone
- (336) 838-3145
- Fax
- (336) 838-0950
- NPI assigned
- Feb 1, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. James Herman Osborne Jr., PHARMACIST
- Title
- Owner
- Phone
- (336) 838-3145
Practitioners 1
-
Robert Curtis Campbell, BS PHARM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241029003410 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 3678006640 | Practice locations: Millers Creek, NC |
National Provider Directory
Locations
2924 N NC Highway 16
Millers Creek, NC 28651
Phone (336) 838-3145
3012 N NC Highway 16
Millers Creek, NC 28651
Phone (336) 838-3145
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | 04267 | NC | Yes |
Addresses
Primary practice location
2924 N NC Highway 16
Millers Creek, NC 28651-8884
Mailing address
PO Box 39
Millers Creek, NC 28651-0039
Phone (336) 838-3145
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0975250 | Medicaid | NC |
Other names
- MILLERS CREEK PHARMACY
Other providers in Millers Creek, NC
- Mary Elizabeth Bishop
- Laken Harrold
- Tara Sanders Quinn
- Marla Kathleen Smola
- Tas Transportation LLC
- United Hearts Home Care, LLC
All providers in Millers Creek, NC · Pharmacist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.