Barbour Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

13502 Issued in NC

Legal business name

BARBOUR DRUG INC

Doing business as

Edgewood Pharmacy

Practice address

2213 Edgewood Ave
Burlington, NC 27215

Phone

(336) 584-8878

Fax

(336) 584-8816

NPI assigned

Jul 16, 2009

Last updated

Jun 11, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christopher Cockman

Title

Owner

Phone

(336) 584-8878

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Edgewood Pharmacy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacquelin T Harrell III, RPH CDE

  • Pharmacist
  • Burlington, NC
  • NPI 1134128770
  NPD (past)

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528675200000",
    "number": "1912137688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 EDGEWOOD AVE",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272154547",
            "telephone_number": "336-584-8878",
            "fax_number": "336-584-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 EDGEWOOD AVE",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "27215",
            "telephone_number": "336-584-8878",
            "fax_number": "336-584-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBOUR DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2018-06-11",
        "status": "A",
        "authorized_official_last_name": "COCKMAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-584-8878"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "13502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015859",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edgewood Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Edgewood Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cathrine Bennett Balentine, MS, OTR/L
• John Owen Ballance
• Lindsay Ballard, LMFTA
• Katherine Kernodle Bannon
• Nancy W Baraks, LCSW, LCAS-A
• Barbour Drugs Inc (Edgewood Pharmacy)
• Barium Springs Home for Children (Children's Hope Alliance)
• Jason Andrew Barney, LCMHCA
• Sarah Mabe Janney Barr, D.P.T.
• Adyazbeth Berenice Barrientos Solis

• Community/Retail Pharmacy in Burlington, NC
• Providers in Burlington, 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 Jun 11, 2018; 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.