Active NPI
Southern Pines Prescription Shop, Inc
Doing business as The Prescription Shoppe
- Pharmacy
- Carthage, NC
National Provider Identifier
1801946991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 08265
- Legal business name
- SOUTHERN PINES PRESCRIPTION SHOP, INC
- Doing business as
- The Prescription Shoppe
- Practice address
- 1016 Monroe St
Carthage, NC 28327 - Phone
- (910) 947-2106
- NPI assigned
- Jan 11, 2007
- Last updated
- Mar 6, 2015
- 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
- Mr. Jon Patrick McClain
- Title
- President
- Phone
- (910) 947-2106
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 08265 | NC | Primary |
Addresses
Primary practice location
1016 Monroe St
Carthage, NC 28327
Mailing address
PO Box 310
1016 Monroe Street
Carthage, NC 28327-0310
Phone (910) 947-2106
Other names 1
- THE PRESCRIPTION SHOPPE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100222000699 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 0446394936 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Robbins, NC |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Peak City Pharmacy
- Community/Retail Pharmacy
- Apex, NC
- NPI 1093949844
O20100222000699
-
- Community/Retail Pharmacy
- Robbins, NC
- NPI 1164560009
O20100222000699
-
dba McClain Drug
- Community/Retail Pharmacy
- Southern Pines, NC
- NPI 1790122463
O20100222000699
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425600000000",
"number": "1801946991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 310",
"address_2": "1016 MONROE STREET",
"city": "CARTHAGE",
"state": "NC",
"postal_code": "283270310",
"telephone_number": "910-947-2106",
"fax_number": "910-947-9647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 MONROE ST",
"city": "CARTHAGE",
"state": "NC",
"postal_code": "28327",
"telephone_number": "910-947-2106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN PINES PRESCRIPTION SHOP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-11",
"last_updated": "2015-03-06",
"status": "A",
"authorized_official_last_name": "MCCLAIN",
"authorized_official_first_name": "JON",
"authorized_official_middle_name": "PATRICK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "910-947-2106",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NC",
"license": "08265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "THE PRESCRIPTION SHOPPE",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Carthage, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.