Metrolina Pain Clinic Dispensary

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

13919 Issued in NC

Legal business name

METROLINA PAIN CLINIC DISPENSARY

Practice address

6300 E Independence Blvd.
Suite B
Charlotte, NC 28212

Phone

(704) 568-9133

NPI assigned

Mar 3, 2008

Organization subpart

Yes

Parent organization

PHYSICIANS CHOICE DISPENSING SERVICESAs reported in NPPES

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

Authorized official

Name

Ms. Cicely Eason

Title

Executive Administrator

Phone

(954) 935-6063

Specialties & licenses 1

Addresses

Part of

Coastal Pain Management Delray Dispensary

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1922278241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4688",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333384688",
            "telephone_number": "954-376-7313",
            "fax_number": "954-697-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 E INDEPENDENCE BLVD.",
            "address_2": "SUITE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28212",
            "telephone_number": "704-568-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROLINA PAIN CLINIC DISPENSARY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYSICIANS CHOICE DISPENSING SERVICES",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "EASON",
        "authorized_official_first_name": "CICELY",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "954-935-6063",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NC",
            "license": "13919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metrolina Internal Medicine PA
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• Metrolina Nephrology Associates, PA
• Metrolina Neurological Associates
• Metrolina Orthopaedic and Sports Medicine Clinic
• Metrolina Sleep Services, LLC
• Metrolina Urology Clinic PA
• Metrolina Vascular Access Care LLC
• Metrolina Women'S Breast Center PLLC
• Metroview Pharmacy Inc

• Non-Pharmacy Dispensing Site in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Non-Pharmacy Dispensing Site in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.