Organization Active NPI

Penslow Pharmacy

  • Community/Retail Pharmacy
  • Holly Ridge, NC
National Provider Identifier
1881609477
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PENSLOW PHARMACY
Practice address
206 N Dyson St
Holly Ridge, NC 28445-8502
Phone
(910) 329-6151
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Randy Spainhoor
Title
Owner
Phone
(910) 324-6151

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 05390 NC
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

206 N Dyson St
Holly Ridge, NC 28445-8502

Mailing address

PO Box 146
Holly Ridge, NC 28445-0146

Other identifiers 2

IdentifierTypeStateIssuer
3425255OtherOTHER ID NUMBER-COMMERCIAL NUMBER
0675439MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1881609477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 146",
            "city": "HOLLY RIDGE",
            "state": "NC",
            "postal_code": "284450146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N DYSON ST",
            "city": "HOLLY RIDGE",
            "state": "NC",
            "postal_code": "284458502",
            "telephone_number": "910-329-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENSLOW PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SPAINHOOR",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-324-6151"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "05390",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3425255",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0675439",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Ridge, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.