Organization Active NPI

HCC Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Raeford, NC
National Provider Identifier
1841211620
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HCC PHARMACY
Practice address
402 S Main St
Raeford, NC 28376-3223
Phone
(910) 875-4831
Fax
(910) 875-9658
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Authorized official

Name
Mr. Timothy Locklear, MBA
Title
VP of Corporate Affairs
Phone
(910) 875-1032

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 07835 NC

Addresses

Primary practice location

402 S Main St
Raeford, NC 28376-3223

Mailing address

402 S Main St
Raeford, NC 28376-3223
Phone (910) 875-4831

Other identifiers 4

IdentifierTypeStateIssuer
0475078MedicaidNC
0475110MedicaidNC
7703001MedicaidNC
3439189OtherOTHER ID NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930050001 NC DME Supplier - PharmacyDME Supplier - Medical Supply Company 0345442927 Practice locations: Raeford, NC
O20170222000606 NC Part B Supplier - Mass Immunization (Roster Biller Only) 0345442927 Practice locations: Raeford, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
HCC Pharmacy402 S Main St, Raeford, NC 28376-3223(910) 875-4831 Commodes, Urinals, Bedpans|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)… Does not accept assignmentParticipating since Apr 5, 2006

National Provider Directory

National Provider Directory

Locations

402 S Main St
Raeford, NC 28376
Phone (910) 875-1032

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1841211620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S MAIN ST",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763223",
            "telephone_number": "910-875-4831",
            "fax_number": "910-875-9658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S MAIN ST",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763223",
            "telephone_number": "910-875-4831",
            "fax_number": "910-875-9658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HCC PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "LOCKLEAR",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "VP OF CORPORATE AFFAIRS",
        "authorized_official_telephone_number": "910-875-1032",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "07835",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0475078",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0475110",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703001",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3439189",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raeford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.