NPIMap

Organization Active NPI

Black Mountin Nuero Medical Treatment Center

Doing business as Black Mountain Center Pharmacy

  • Long Term Care Pharmacy
  • Black Mountain, NC
National Provider Identifier
1891852232
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
02267 Issued in NC
Legal business name
BLACK MOUNTIN NUERO MEDICAL TREATMENT CENTER
Doing business as
Black Mountain Center Pharmacy
Practice address
932 Old US Hwy 70 W
Black Mountain, NC 28711-2547
Phone
(828) 259-6745
Fax
(828) 259-6680
NPI assigned
Jan 3, 2007
Last updated
Mar 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Norm Masterson, RPH
Title
Pharmacy Director
Phone
(828) 259-6745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 02267 NC Primary

Addresses

Primary practice location

932 Old US Hwy 70 W
Black Mountain, NC 28711-2547

Mailing address

Cbo DHHS Controllers Ofc
2021 Mail Service Center
Raleigh, NC 27699-0001
Phone (919) 733-9867

Other identifiers 1

IdentifierTypeStateIssuer
2065189OtherPK

Other names 1

  • BLACK MOUNTAIN CENTER PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Black Mountain Neuro-Medical Treatment Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2021 Mail Service Ctr
Ofc
Raleigh, NC 27699

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1891852232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CBO DHHS CONTROLLERS OFC",
            "address_2": "2021 MAIL SERVICE CENTER",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276990001",
            "telephone_number": "919-733-9867",
            "fax_number": "919-733-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 OLD US HWY 70 W",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287112547",
            "telephone_number": "828-259-6745",
            "fax_number": "828-259-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK MOUNTIN NUERO MEDICAL TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "MASTERSON",
        "authorized_official_first_name": "NORM",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "828-259-6745",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NC",
            "license": "02267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2065189",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLACK MOUNTAIN CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BLACK MOUNTAIN CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Black Mountain, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.