Hickory Family Pharmacy LLC.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

04183 Issued in NC

Legal business name

HICKORY FAMILY PHARMACY LLC.

Doing business as

HICKORY FAMILY PHARMACy LLC.

Practice address

1501 Tate Blvd SE
Ste 102
Hickory, NC 28602-1384

Phone

(828) 324-4630

Fax

(828) 324-4675

NPI assigned

Sep 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Maurice George Batshon, RPH

Title

Pharmacist/ Owner

Phone

(828) 324-4630

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• HICKORY FAMILY PHARMACy LLC. Doing business as

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1962595397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 TATE BLVD SE",
            "address_2": "STE 102",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021384",
            "telephone_number": "828-324-4630",
            "fax_number": "828-324-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 TATE BLVD SE",
            "address_2": "STE 102",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021384",
            "telephone_number": "828-324-4630",
            "fax_number": "828-324-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKORY FAMILY PHARMACY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "BATSHON",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PHARMACIST/ OWNER",
        "authorized_official_telephone_number": "828-324-4630",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "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": "04183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7702037",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0185926",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2068862",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HICKORY FAMILY PHARMACy LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Hickory, NC
• Providers in Hickory, 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 Dec 21, 2016; 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.