Spears Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

04088 Issued in NC

Legal business name

SPEARS PHARMACY INC

Doing business as

Spears Pharmacy

Practice address

405 Becker Dr
Roanoke Rapids, NC 27870-3301

Phone

(252) 537-1146

Fax

(252) 537-1147

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Larry Spears, BS PHARMACYNPI 1770664658

Title

Owner Phcst

Phone

(252) 537-1146

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SPEARS PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Larry O'Neal Spears, RPH.

  • Pharmacist
  • Roanoke Rapids, NC
  • NPI 1770664658
  NPD Authorized official
• Retha Bylsma

  • Pharmacist
  • Roanoke Rapids, NC
  • NPI 1689973794
  NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1932287448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 BECKER DR",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278703301",
            "telephone_number": "252-537-1146",
            "fax_number": "252-537-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 BECKER DR",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278703301",
            "telephone_number": "252-537-1146",
            "fax_number": "252-537-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEARS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "SPEARS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OWNER PHCST",
        "authorized_official_telephone_number": "252-537-1146",
        "authorized_official_credential": "BS PHARMACY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "04088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0425322",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2068859",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPEARS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglas Hardy Snow, DO
• Soft Life Co
• Yvonne Solomon, LPC
• Michael Dean Sorensen, M.D.
• Southen Tranquility Medispa, Inc.
• Larry O'Neal Spears, RPH.
• Jeanne Spence, DDS
• Genevieve Spiliopoulos, MS
• Spring Life Behavioral Care LLC
• Statewide Mental Health & Disability Services PLLC

• Community/Retail Pharmacy in Roanoke Rapids, NC
• Providers in Roanoke Rapids, 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 Aug 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.