Organization Active NPI

Hospital Drive Pharmacy Inc

  • Pharmacy
  • Spruce Pine, NC
National Provider Identifier
1972605327
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
03539 Issued in NC
Legal business name
HOSPITAL DRIVE PHARMACY INC
Practice address
409 Altapass Hwy
Spruce Pine, NC 28777
Phone
(828) 765-3470
Fax
(828) 765-3470
NPI assigned
Sep 5, 2006
Last updated
Nov 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

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

Authorized official

Name
Mary Ann Barnett
Title
Office Manager
Phone
(828) 765-2025

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 03539 NC
Pharmacy 333600000X 03539 NC Primary

Addresses

Primary practice location

409 Altapass Hwy
Spruce Pine, NC 28777

Mailing address

409 Altapass Hwy
Spruce Pine, NC 28777
Phone (828) 765-3470

Other identifiers 2

IdentifierTypeStateIssuer
0615112MedicaidNC
7700447MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930001054 NC DME Supplier - Pharmacy 5294852943 Practice locations: Spruce Pine, NC
O20191113003408 NC Part B Supplier - Mass Immunization (Roster Biller Only) 5294852943 Practice locations: Spruce Pine, NC

National Provider Directory

National Provider Directory

Locations

409 Altapass Hwy
Spruce Pine, NC 28777
Phone (828) 765-2025

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669334400000",
    "number": "1972605327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 ALTAPASS HWY",
            "city": "SPRUCE PINE",
            "state": "NC",
            "postal_code": "28777",
            "telephone_number": "828-765-3470",
            "fax_number": "828-765-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 ALTAPASS HWY",
            "city": "SPRUCE PINE",
            "state": "NC",
            "postal_code": "28777",
            "telephone_number": "828-765-3470",
            "fax_number": "828-765-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL DRIVE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "828-765-2025"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "03539",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "03539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0615112",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7700447",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spruce Pine, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; 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.