NPIMap

Organization Active NPI

Hospice Pharmacy Services Inc

  • Compounding Pharmacy
  • Winston Salem, NC
National Provider Identifier
1912147455
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
10226 Issued in NC
Legal business name
HOSPICE PHARMACY SERVICES INC
Practice address
3072 Trenwest Dr Ste a
Winston Salem, NC 27103-3219
Phone
(336) 723-1679
Fax
(336) 723-1670
NPI assigned
Feb 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Jerry Beamer, BSPHARM
Title
Owner
Phone
(336) 723-1679

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 0214001549 VA
Compounding Pharmacy 3336C0004X 10226 NC Primary

Addresses

Primary practice location

3072 Trenwest Dr Ste a
Winston Salem, NC 27103-3219

Mailing address

3072 Trenwest Dr
Suite a
Winston Salem, NC 27103-3216
Phone (336) 723-1679

Other identifiers 2

IdentifierTypeStateIssuer
0345173MedicaidNC
2120279OtherPK

Other names 1

  • Andrews Apothecary Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Andrews Apothecary2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3072 Trenwest Dr
Ste A
Winston Salem, NC 27103
Phone (336) 723-1679

NPI Registry JSON

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1912147455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3072 TRENWEST DR",
            "address_2": "SUITE A",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033216",
            "telephone_number": "336-723-1679",
            "fax_number": "336-723-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3072 TRENWEST DR STE A",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033219",
            "telephone_number": "336-723-1679",
            "fax_number": "336-723-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE PHARMACY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "BEAMER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-723-1679",
        "authorized_official_credential": "BSPHARM"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0214001549",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NC",
            "license": "10226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0345173",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2120279",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andrews Apothecary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.