Community Pharmacy of Roxboro Inc – Pharmacy

Key facts

NPI: 1851362081
Entity type: Organization (NPI type 2)
Primary specialty: Pharmacy 333600000X
License: 10229 (NC)
Legal business name: COMMUNITY PHARMACY OF ROXBORO INC
Practice address: 719 N. Main St.
Roxboro, NC 27573
Phone: (336) 599-9293
Fax: (336) 599-4741
NPI assigned: Jan 27, 2006
Organization subpart: No

Authorized official

Name: Karen Michelle Clark, PHARMD NPI 1649034828
Title: Pharmacist/Owner
Phone: (336) 599-9293

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

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

Karen Michelle Clark, PHARMD Pharmacist · Roxboro, NC · NPI 1649034828

NPD Authorized official PHARMACIST
Thomas Beam, PHARMD Pharmacist · Gaffney, SC · NPI 1982126066

NPD PHARMACIST

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NC

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20231229000639	NC	Part B Supplier - Mass Immunization (Roster Biller Only)	1557711777	Practice locations: Roxboro, NC

National Provider Directory

Locations

719 N Main St
Roxboro, NC 27573
Phone (336) 599-9293

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist Group: 193400000X SINGLE SPECIALTY GROUP	183500000X	12712	NC
Pharmacy	333600000X	10229	NC	Yes

Addresses

Primary practice location

719 N. Main St.
Roxboro, NC 27573

Mailing address

719 N. Main St.
Roxboro, NC 27573
Phone (336) 599-9293

Other identifiers

Identifier	Type	State	Issuer
10229	Other	NC	PHARMACY PERMIT
3414113	Other		NABP
73510-0	Medicaid	NC
03015	Other	NC	PHARMACY PERMIT

Other names

Community Pharmacy Services Inc Former legal business name

Other providers in Roxboro, NC

All providers in Roxboro, NC · Pharmacy in North Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.