Tarheel Pharmacy #2 Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

09117 Issued in NC

Legal business name

TARHEEL PHARMACY #2 INC

Practice address

1505 N Road St
Elizabeth City, NC 27909-3243

Phone

(252) 384-1001

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Amanda Whitehead, PHARM D, RPH

Title

Pharmacy Manager

Phone

(252) 384-1001

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811042476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 N ROAD ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 N ROAD ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093243",
            "telephone_number": "252-384-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARHEEL PHARMACY #2 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "252-384-1001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D, RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "09117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0705343",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cheryl L. Tate, MSW, LCSW
• Tates Health Care & Behavioral Health Services, PLLC
• Arnette Olivia Tates, DNP, FNP-BC,PMHNP-BC

• All providers in Elizabeth City, NC
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.