Organization Active NPI

Cape Fear Long Term Care Pharmacy LLC

  • Long Term Care Pharmacy
  • Lillington, NC
National Provider Identifier
1972940377
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
11525 Issued in NC
Legal business name
CAPE FEAR LONG TERM CARE PHARMACY LLC
Doing business as
Cape Fear Long Term Care Pharmacy LLC
Practice address
185 Pine State St
Lillington, NC 27546-9415
Phone
(910) 893-2986
Fax
(866) 375-9070
NPI assigned
May 28, 2013
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Maria Jeffries, PHARM DNPI 1063666048
Title
Owner
Phone
(910) 893-2986

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Long Term Care Pharmacy 3336L0003X 11525 NC Primary

Addresses

Primary practice location

185 Pine State St
Lillington, NC 27546-9415

Mailing address

185 Pine State St
Lillington, NC 27546-9415
Phone (910) 893-2986

Other identifiers 1

IdentifierTypeStateIssuer
2141105OtherPK

Other names 1

  • Cape Fear Long Term Care Pharmacy LLC Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20131202001646 NC Part B Supplier - Pharmacy 6204062979 Practice locations: Lillington, NC
O20181026000972 NC DME Supplier - Pharmacy 6204062979 Practice locations: Lillington, NC

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2064898Cape Fear Long Term Care Pharmacy185 Pine State Street, Lillington, NC 27546Certificate of waiverAug 28, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Cape Fear Long Term Care Pharmacy L185 Pine State St, Lillington, NC 27546-9415(910) 893-2986 Nebulizer Drugs Accepts assignmentParticipating since Aug 21, 2013

National Provider Directory

National Provider Directory

Locations

185 Pine State St
Lillington, NC 27546
Phone (910) 893-2986

Practitioners & affiliated clinicians

Practitioners 2

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": "1369699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1972940377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 PINE STATE ST",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275469415",
            "telephone_number": "910-893-2986",
            "fax_number": "866-375-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 PINE STATE ST",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275469415",
            "telephone_number": "910-893-2986",
            "fax_number": "866-375-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE FEAR LONG TERM CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-28",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "JEFFRIES",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-893-2986",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NC",
            "license": "11525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141105",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cape Fear Long Term Care Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lillington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.