B&B Enterprises of Fay Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5638 Issued in NC

Legal business name

B&B ENTERPRISES OF FAY INC

Doing business as

Medicap Pharmacy

Practice address

1431 Ramsey St
Fayetteville, NC 28301-4405

Phone

(910) 486-5936

Fax

(910) 486-9227

NPI assigned

Feb 24, 2007

Last updated

Mar 7, 2023By 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

Ms. Brenda Hall Fonville, R.PH.NPI 1497881650

Title

Pharmacist

Phone

(910) 486-5936

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Medicap Pharmacy Doing business as

Locations

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.

• Brenda Hall Fonville, R.PH.

  • Pharmacist
  • Fayetteville, NC
  • NPI 1497881650
  NPD (past) Authorized official

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1932235199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 RAMSEY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014405",
            "telephone_number": "910-486-5936",
            "fax_number": "910-486-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 RAMSEY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014405",
            "telephone_number": "910-486-5936",
            "fax_number": "910-486-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B&B ENTERPRISES OF FAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-24",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "FONVILLE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "HALL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "910-486-5936",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "5638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0265868",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0409E",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "3430585",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7701392",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicap Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Fayetteville, NC
• Providers in Fayetteville, 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 Mar 7, 2023; 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.