Beach RX, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

05313 Issued in NC

Legal business name

BEACH RX, INC.

Doing business as

Beach Pharmacy of Hatteras

Practice address

57353 NC Highway 12
Tams Plaza
Hatteras, NC 27943-0428

Phone

(252) 986-2400

Fax

(252) 986-5363

NPI assigned

Aug 20, 2006

Last updated

Jun 20, 2022By 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

Matthew ThornbroughNPI 1760717169

Title

President/Pharmacist

Phone

(252) 986-2400

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• BEACH PHARMACY OF HATTERAS Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Beach RX, Inc.

  dba Beach Pharmacy of Avon

  • Community/Retail Pharmacy
  • Avon, NC
  • NPI 1114001955

  O20220728000243

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Beach Pharmacy II LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Beach RX, Inc

  dba Beach Pharmacy of Hatteras

  • Pharmacist
  • Hatteras, NC
  • NPI 1073000881
  NPD tax ID
• Beach RX, Inc.

  dba Beach Pharmacy of Avon

  • Community/Retail Pharmacy
  • Avon, NC
  • NPI 1114001955
  NPD tax ID

Practitioners 4

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.

• Matthew Floyd Thornbrough, PHARM.D.

  • Pharmacist
  • Avon, NC
  • NPI 1760717169
  NPD (past) Authorized official
• Steven Craig Evans, RPH

  • Pharmacist
  • Hatteras, NC
  • NPI 1487956116
  NPD (past)
• Lonnie Timothy Morgan, RPH

  • Pharmacist
  • Avon, NC
  • NPI 1669774394
  NPD (past)
• Morghan Elizabeth Stallings, PHARMD

  • Pharmacist
  • Hatteras, NC
  • NPI 1205351095
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655683200000",
    "number": "1952416992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 428",
            "city": "HATTERAS",
            "state": "NC",
            "postal_code": "27943",
            "telephone_number": "252-986-2400",
            "fax_number": "252-986-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57353 NC HIGHWAY 12",
            "address_2": "TAMS PLAZA",
            "city": "HATTERAS",
            "state": "NC",
            "postal_code": "279430428",
            "telephone_number": "252-986-2400",
            "fax_number": "252-986-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH RX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A",
        "authorized_official_last_name": "THORNBROUGH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "252-986-2400"
    },
    "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": "05313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0285221",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2070275",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEACH PHARMACY OF HATTERAS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BEACH PHARMACY OF HATTERAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenna Willis Aiken, LCMHC
• Beach RX, Inc (Beach Pharmacy of Hatteras)
• Daily Living Home Health Medical Supply Inc
• Steven Craig Evans, RPH
• Hatteras Village Medical Center, Inc.
• Heatheast Outer Banks Medical Center LLC (Healtheast Family Care-Hatteras)
• Joseph Al Hodges Jr., M.D.

• Community/Retail Pharmacy in Hatteras, NC
• Providers in Hatteras, 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 Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.