Organization Active NPI

Dempsey'S Long Term Care, LLC

  • Long Term Care Pharmacy
  • Kinston, NC
National Provider Identifier
1962823039
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
11768 Issued in NC
Legal business name
DEMPSEY'S LONG TERM CARE, LLC
Practice address
2717 Hwy 11 55 Ste C
Kinston, NC 28504-4607
Phone
(252) 208-0180
NPI assigned
Dec 17, 2013
Organization subpart
Yes
Parent organization
KINSTON CLINIC PHARMACYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Authorized official

Name
Shelba G Hill
Title
President
Phone
(252) 208-0180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 11768 NC Primary

Addresses

Primary practice location

2717 Hwy 11 55 Ste C
Kinston, NC 28504-4607

Mailing address

701 Doctors Dr
Suite P-2
Kinston, NC 28501-1589
Phone (252) 208-0180

Other practice location 1

701 Doctors Dr
Suite P-2
Kinston, NC 28501-1589
Phone (252) 208-0180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140407000423 NC Part B Supplier - Pharmacy 4183856115 Practice locations: Kinston, NC

National Provider Directory

National Provider Directory
Part of
Kinston Clinic Pharmacy

Locations

2717 Hwy 11 55
Ste C
Kinston, NC 28504
Phone (252) 208-0180

2717 Hwy 11 55
Kinston, NC 28504
Phone (252) 208-0180

701 Doctors Dr
Ste P2
Kinston, NC 28501
Phone (252) 208-0180

701 Doctors Dr
#P2
Kinston, NC 28501

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1962823039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 DOCTORS DR",
            "address_2": "SUITE P-2",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011589",
            "telephone_number": "252-208-0180",
            "fax_number": "252-686-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 HWY 11 55 STE C",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285044607",
            "telephone_number": "252-208-0180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Doctors Dr",
            "address_2": "Suite P-2",
            "address_purpose": "LOCATION",
            "city": "Kinston",
            "state": "NC",
            "postal_code": "285011589",
            "country_code": "US",
            "telephone_number": "252-208-0180",
            "fax_number": "252-686-5055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEMPSEY'S LONG TERM CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KINSTON CLINIC PHARMACY",
        "enumeration_date": "2013-12-17",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "SHELBA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-208-0180"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NC",
            "license": "11768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.