Center Street Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

08285 Issued in NC

Legal business name

CENTER STREET PHARMACY INC

Practice address

316 East Center Street
Lexington, NC 27292

Phone

(336) 248-5048

Fax

(336) 248-2102

NPI assigned

May 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Steven Eliot Koontz, RPH PHARM D

Title

Pharmacy MGR

Phone

(336) 248-5048

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1881652881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 EAST CENTER STREET",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "27292",
            "telephone_number": "336-248-5048",
            "fax_number": "336-248-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 EAST CENTER STREET",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "27292",
            "telephone_number": "336-248-5048",
            "fax_number": "336-248-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER STREET PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KOONTZ",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ELIOT",
        "authorized_official_title_or_position": "PHARMACY MGR",
        "authorized_official_telephone_number": "336-248-5048",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "08285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPOP",
            "identifier": "3408273",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0295113",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lynne Carter, M.S., LCAS
• Sharon Casey
• Tammy Hoyle Cashwell, PHD, LPC, NCC
• Mark Alan Castleberry Sr., PT
• Madison Parker Cave
• Central Carolina Associates in Optometry PA
• Cecile Chang
• David Brandon Chapman, M.D.
• Charles W Hoover DDS PA
• Charles W Plummer MD PA

• Community/Retail Pharmacy in Lexington, NC
• Providers in Lexington, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.