Organization Active NPI

North Iredell Pharmacy, Inc

  • Community/Retail Pharmacy
  • Harmony, NC
National Provider Identifier
1982898359
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
09894 Issued in NC
Legal business name
NORTH IREDELL PHARMACY, INC
Doing business as
North Iredell Pharmacy Inc
Practice address
979 W Memorial Hwy
Harmony, NC 28634-9352
Phone
(704) 539-4727
Fax
(704) 539-5127
NPI assigned
Aug 29, 2007
Last updated
Dec 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Authorized official

Name
Larry MarlinNPI 1184138968
Title
Owner
Phone
(704) 872-0880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 09894 NC Primary

Addresses

Primary practice location

979 W Memorial Hwy
Harmony, NC 28634-9352

Mailing address

837 N Center St
Statesville, NC 28677-3222
Phone (704) 872-0880

Other identifiers 1

IdentifierTypeStateIssuer
3409047OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • NORTH IREDELL PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

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": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1982898359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 N CENTER ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773222",
            "telephone_number": "704-872-0880",
            "fax_number": "704-871-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 W MEMORIAL HWY",
            "city": "HARMONY",
            "state": "NC",
            "postal_code": "286349352",
            "telephone_number": "704-539-4727",
            "fax_number": "704-539-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH IREDELL PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "MARLIN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-872-0880"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "09894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3409047",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH IREDELL PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harmony, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.