National Pharmaceutical Network Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

NATIONAL PHARMACEUTICAL NETWORK INC

Practice address

610 W Main St Ste B
Rockwell, NC 28138-9415

Phone

(704) 279-3001

NPI assigned

Oct 24, 2014

Organization subpart

Yes

Parent organization

FREDS INCAs reported in NPPES

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

Authorized official

Name

Rick Chambers

Title

Vice President

Phone

(901) 238-2477

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Village Pharmacy 3962 Doing business as

Locations

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1831594498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 NEW GETWELL RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381186801",
            "telephone_number": "901-238-2520",
            "fax_number": "901-365-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W MAIN ST STE B",
            "city": "ROCKWELL",
            "state": "NC",
            "postal_code": "281389415",
            "telephone_number": "704-279-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL PHARMACEUTICAL NETWORK INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREDS INC",
        "enumeration_date": "2014-10-24",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "901-238-2477"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831594498",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Pharmacy 3962",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Rose Manduca, MSED, LPA
• David Andrew Maxwell, PH.D.
• Katherine A. McSwain
• Rebecca R. Moore
• Amanda Nantz, LPCA
• Nazareth Children'S Home
• Nazareth Children'S Home
• Nazareth Childrens Home
• Nazareth Childrens Home
• North Carolina CVS Pharmacy LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.