Active NPI
Brownpharmacy LLC
- Community/Retail Pharmacy
- Wilmington, NC
National Provider Identifier
1992817902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5065
- Legal business name
- BROWNPHARMACY LLC
- Practice address
- 1612 Market St
Wilmington, NC 28401-4953 - Phone
- (910) 763-0845
- Fax
- (910) 762-6916
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Henry Brown Jr., PHARMD
- Title
- Owner
- Phone
- (910) 763-0845
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5065 | NC | Primary |
Addresses
Primary practice location
1612 Market St
Wilmington, NC 28401-4953
Mailing address
1612 Market St
Wilmington, NC 28401-4953
Phone (910) 763-0845
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2069799 | Other | PK | |
| 0655704 | Medicaid | NC | |
| 7700157 | Medicaid | NC |
Other names 1
- Market Street Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Brown Pharmacy LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Wilmington, NC
- NPI 1740745603
-
- Long Term Care Pharmacy
- Wilmington, NC
- NPI 1528867934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547596800000",
"number": "1992817902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 MARKET ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284014953",
"telephone_number": "910-763-0845",
"fax_number": "910-762-6916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1612 MARKET ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284014953",
"telephone_number": "910-763-0845",
"fax_number": "910-762-6916"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROWNPHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2019-01-16",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "HENRY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "910-763-0845",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NC",
"license": "5065",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2069799",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0655704",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7700157",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Market Street Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Market Street Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.