Active NPI
Tommie F Bostic Jr.
- Pharmacist
- Beulaville, NC
National Provider Identifier
1992931984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9362
- Practice address
- 308 N Jackson St
Beulaville, NC 28518-8825 - Phone
- (910) 298-3161
- Fax
- (910) 298-4572
- NPI assigned
- Jun 3, 2009
- Last updated
- Jun 3, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9362 | NC | Primary |
Addresses
Primary practice location
308 N Jackson St
Beulaville, NC 28518-8825
Mailing address
308 N Jackson St
Beulaville, NC 28518-8825
Phone (910) 298-3161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9362 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kerr Drug Inc | Past | Accepting new patients | |
| Kerr Drug Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243987200000",
"number": "1992931984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 N JACKSON ST",
"city": "BEULAVILLE",
"state": "NC",
"postal_code": "285188825",
"telephone_number": "910-298-3161",
"fax_number": "910-298-4572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 N JACKSON ST",
"city": "BEULAVILLE",
"state": "NC",
"postal_code": "285188825",
"telephone_number": "910-298-3161",
"fax_number": "910-298-4572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSTIC",
"first_name": "TOMMIE",
"middle_name": "F",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-03",
"last_updated": "2009-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "9362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beulaville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.