NPIMap

Opportunities Industrialization Center, Inc

Organization Active NPI Clinic Pharmacy · Rocky Mount, NC

NPI 1902396732 · NPPES record last updated Aug 21, 2018

Key facts

NPI
1902396732
Entity type
Organization (NPI type 2)
Primary specialty
Clinic Pharmacy 3336C0002X
Legal business name
OPPORTUNITIES INDUSTRIALIZATION CENTER, INC
Practice address
300 N Grace St Ste 150
Rocky Mount, NC 27804
Phone
(252) 316-8220
Fax
(252) 822-5065
NPI assigned
May 17, 2018
Organization subpart
Yes
Parent organization (as reported)
OPPORTUNITIES INDUSTRIALIZATION CENTER, INC

Authorized official

Name
Reuben Blackwell IV
Title
Ceo
Phone
(252) 212-3480

Corporate family (same tax ID) 6

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

Practitioners 1

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

National Provider Directory

Tax ID family
Rocky Mount Oic Family Medical Center (7 organizations share this tax ID)
Part of
Rocky Mount Oic Family Medical Center

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X Yes
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

300 N Grace St Ste 150
Rocky Mount, NC 27804

Mailing address

PO Box 2723
Rocky Mount, NC 27802-2723
Phone (252) 212-3486

Other names

  • OIC Pharmacy Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 21, 2018.

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1902396732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2723",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278022723",
            "telephone_number": "252-212-3486",
            "fax_number": "252-212-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N GRACE ST STE 150",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "27804",
            "telephone_number": "252-316-8220",
            "fax_number": "252-822-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPPORTUNITIES INDUSTRIALIZATION CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPPORTUNITIES INDUSTRIALIZATION CENTER, INC",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "REUBEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-212-3480",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OIC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rocky Mount, NC

All providers in Rocky Mount, NC · Clinic Pharmacy in North Carolina

Sources for this page

Verify at the official NPI Registry.