Active NPI
Natural Sleep Store LLC
Doing business as Specialty Pharmacy of Cary, LLC
- Community/Retail Pharmacy
- Cary, NC
National Provider Identifier
1922364298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 11273
- Legal business name
- NATURAL SLEEP STORE LLC
- Doing business as
- Specialty Pharmacy of Cary, LLC
- Practice address
- 3750 NW Cary Pkwy Ste 112
Cary, NC 27513-8432 - Phone
- (910) 691-1022
- Fax
- (910) 579-6990
- NPI assigned
- Apr 11, 2012
- Last updated
- Aug 1, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Trey Waters
- Title
- President
- Phone
- (910) 691-1022
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 11273 | NC | Primary |
| Compounding Pharmacy | 3336C0004X | NU |
Addresses
Primary practice location
3750 NW Cary Pkwy Ste 112
Cary, NC 27513-8432
Mailing address
165 NE Broad St
Southern Pines, NC 28387-5525
Phone (910) 246-9355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3459991 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Specialty Pharmacy of Cary, LLC
National Provider Directory
National Provider DirectoryLocations
3750 NW Cary Pkwy
Ste 112
Cary, NC 27513
Phone (910) 691-1022
165 NE Broad St
Southern Pines, NC 28387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343779200000",
"number": "1922364298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 NE BROAD ST",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283875525",
"telephone_number": "910-246-9355",
"fax_number": "910-246-1755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 NW CARY PKWY STE 112",
"city": "CARY",
"state": "NC",
"postal_code": "275138432",
"telephone_number": "910-691-1022",
"fax_number": "910-579-6990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATURAL SLEEP STORE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-11",
"last_updated": "2012-08-01",
"status": "A",
"authorized_official_last_name": "WATERS",
"authorized_official_first_name": "TREY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "910-691-1022"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NC",
"license": "11273",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "3459991",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Specialty Pharmacy of Cary, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.