Prescotts Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

04161 Issued in NC

Legal business name

PRESCOTTS PHARMACY INC

Practice address

1402 W Cumberland St
Dunn, NC 28334-4504

Phone

(910) 892-1176

Fax

(910) 892-1177

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Prescott Godwin, RPH

Title

Pharmacist/Owner

Phone

(910) 892-1176

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MEDICINE CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1801924162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 W CUMBERLAND ST",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344504",
            "telephone_number": "910-892-1176",
            "fax_number": "910-892-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 W CUMBERLAND ST",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344504",
            "telephone_number": "910-892-1176",
            "fax_number": "910-892-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCOTTS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "GODWIN",
        "authorized_official_first_name": "PRESCOTT",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "910-892-1176",
        "authorized_official_credential": "RPH"
    },
    "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": "04161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0435486",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2068773",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Savanna Brooke Pope, LCMHCA
• Virginia Eddins Pope, RN
• Elizabeth Portteus, PHARMD
• Christopher Powell, PHARMD
• Precott'S Pharmacies Inc
• Primary Health Choice, Inc.
• Primary Health Choice, Inc.
• Terri Lynn Proctor, MS, LCMHCA
• Professional Women'S Healthcare, P.a.
• Program Resource Institute, Inc.

• Community/Retail Pharmacy in Dunn, NC
• Providers in Dunn, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.