McCarthy Square Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

05941 Issued in NC

Legal business name

MCCARTHY SQUARE PHARMACY LLC

Doing business as

MCCARTHY SQUARE PHARMACY

Practice address

609 McCarthy Blvd
New Bern, NC 28562-5232

Phone

(252) 514-2900

Fax

(252) 514-2404

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

George Davis, RPH

Title

Pharmacy Manager

Phone

(252) 514-2900

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• MCCARTHY SQUARE PHARMACY Doing business as

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1821157827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 MCCARTHY BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625232",
            "telephone_number": "252-514-2900",
            "fax_number": "252-514-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 MCCARTHY BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625232",
            "telephone_number": "252-514-2900",
            "fax_number": "252-514-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCARTHY SQUARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "252-514-2900",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "05941",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2070997",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0255588",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7701543",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCCARTHY SQUARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Susan McAlister, L.C.S.W.
• Erin Katherine McCann, LCSWA
• Vinetta M McCann, NP
• Alicia R McCarroll, PA-C
• Natalie V McCarter
• McCarthy Square Pharmacy, LLC
• Tiffany Danielle McCarthy, MS, OTR/L
• Abigail McClellan
• Scott David McClellan, M.D.
• Laura Tracy McDaniel, PT

• Community/Retail Pharmacy in New Bern, NC
• Providers in New Bern, 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 20, 2016; 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.