NPIMap

Organization Active NPI

Beam and Worley Inc

  • Community/Retail Pharmacy
  • N Wilkesboro, NC
National Provider Identifier
1881653525
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
05164 Issued in NC
Legal business name
BEAM AND WORLEY INC
Doing business as
BLUE RIDGE PHARMACY NORTHPARK
Practice address
23 Sparta Rd
Suite a
N Wilkesboro, NC 28659-3185
Phone
(336) 667-6484
Fax
(336) 838-9597
NPI assigned
Mar 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Authorized official

Name
Thomas Huffman, PHARMD RPH
Title
Phcy Manager Owner
Phone
(336) 667-6484

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 05164 NC Primary

Addresses

Primary practice location

23 Sparta Rd
Suite a
N Wilkesboro, NC 28659-3185

Mailing address

23 Sparta Rd
Suite a
N Wilkesboro, NC 28659-3185
Phone (336) 667-6484

Other identifiers 2

IdentifierTypeStateIssuer
0975367MedicaidNC
2069273OtherPK

Other names 1

  • BLUE RIDGE PHARMACY NORTHPARK Doing business as

National Provider Directory

National Provider Directory

Locations

23 Sparta Rd
Apt A
North Wilkesboro, NC 28659
Phone (336) 667-6484

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1881653525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SPARTA RD",
            "address_2": "SUITE A",
            "city": "N WILKESBORO",
            "state": "NC",
            "postal_code": "286593185",
            "telephone_number": "336-667-6484",
            "fax_number": "336-838-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 SPARTA RD",
            "address_2": "SUITE A",
            "city": "N WILKESBORO",
            "state": "NC",
            "postal_code": "286593185",
            "telephone_number": "336-667-6484",
            "fax_number": "336-838-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAM AND WORLEY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "HUFFMAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PHCY MANAGER OWNER",
        "authorized_official_telephone_number": "336-667-6484",
        "authorized_official_credential": "PHARMD RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "05164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0975367",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2069273",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLUE RIDGE PHARMACY NORTHPARK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in N Wilkesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.