Organization Active NPI

Pharm. D of Eastern Carolina, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Washington, NC
National Provider Identifier
1992834063
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PHARM. D OF EASTERN CAROLINA, INC.
Practice address
917 W. 13TH Street
Washington, NC 27889-3522
Phone
(252) 975-1358
Fax
(252) 975-1659
NPI assigned
Mar 5, 2007
Organization subpart
Yes
Parent organization
PHARM D OF EASTERN CAROLINA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Authorized official

Name
Mr. Chadwick Ryan Holliday
Title
General Manager
Phone
(252) 975-1358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

917 W. 13TH Street
Washington, NC 27889-3522

Mailing address

917 W. 13TH Street
Washington, NC 27889-3522
Phone (252) 975-1358

Other identifiers 1

IdentifierTypeStateIssuer
7705019MedicaidNC

Other names 1

  • Caring Hands Medical Supplies Doing business as

National Provider Directory

National Provider Directory
Part of
Pharm D of Eastern Carolina

Locations

917 W 13th St
Washington, NC 27889
Phone (252) 975-1358

Practitioners & affiliated clinicians

Practitioners 1

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": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1992834063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 W. 13TH STREET",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893522",
            "telephone_number": "252-975-1358",
            "fax_number": "252-975-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 W. 13TH STREET",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893522",
            "telephone_number": "252-975-1358",
            "fax_number": "252-975-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARM. D OF EASTERN CAROLINA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHARM D OF EASTERN CAROLINA, INC.",
        "enumeration_date": "2007-03-05",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "HOLLIDAY",
        "authorized_official_first_name": "CHADWICK",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "252-975-1358",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7705019",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caring Hands Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.