Organization Active NPI

Natural Sleep Store LLC

Doing business as Specialty Pharmacy of Cary, LLC

  • Community/Retail Pharmacy
  • Cary, NC
National Provider Identifier
1922364298
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
11273 Issued in NC
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3459991OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Specialty Pharmacy of Cary, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.