Active NPI
HCC Pharmacy
- Durable Medical Equipment & Medical Supplies
- Raeford, NC
National Provider Identifier
1841211620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0475078 | Medicaid | NC | |
| 0475110 | Medicaid | NC | |
| 7703001 | Medicaid | NC | |
| 3439189 | Other | OTHER ID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930050001 | NC | DME Supplier - Pharmacy | 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| HCC Pharmacy | 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 assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Raeford, NC
- NPI 1770178121
-
- Orthotic Fitter
- Raeford, NC
- NPI 1235719733
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.