Tommie F Bostic Jr.
Individual provider Active NPI Pharmacist · Beulaville, NC
NPI 1992931984 · NPPES record last updated Jun 3, 2009
Key facts
- NPI
- 1992931984
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 9362 (NC)
- Practice address
- 308 N Jackson St
Beulaville, NC 28518-8825 - Phone
- (910) 298-3161
- Fax
- (910) 298-4572
- NPI assigned
- Jun 3, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
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 |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9362 | NC | Yes |
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
Other providers in Beulaville, NC
- Beulaville Chiropractic PLLC
- Beulaville Eye Care, Inc.
- Beulaville Pharmacy Inc
- Taylor Blizzard
- Demetria Boone
- Morgan Brann
- Amanda Brinson
- Claudia Riddle Britt
- Rufus Scott Brown
- Laura Christine Bryant
All providers in Beulaville, NC · Pharmacist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.