PEMBROKE DRUG CENTER, INC. (NPI# 1154425569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154425569 |
| Entity Type | Organization |
| Organization Name | PEMBROKE DRUG CENTER, INC. |
| Other Organization Name | HEALTHKEEPERZ |
| Practice Address |
209 W. 3rd St Pembroke NC 28372-1030 |
| Practice Telephone | 9105220009 |
| Practice Fax Number | 9105215654 |
| Mailing Telephone | 9105220009 |
| Mailing Fax Number | 9105215654 |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TIMOTHY BROOKS (PRESIDENT) |
| Authorized Official Telephone | 9105220001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
332BX2000X | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7703307 | 05 |
| Other Name | Type Code |
|---|---|
| Healthkeeperz | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326028671 | Pembroke Drug Center, Inc. | Durable Medical Equipment & Medical Supplies | 209 W 3rd St, Pembroke, NC 28372-8768 | 2006-01-20 |
| Street Address |
209 W. 3RD ST |
| City | PEMBROKE |
| State | NC |
| Zip Code | 28372-1030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962977 | Kayla J Oxendine | Counselor | 86 Threehunts Drive, Pembroke, NC 28372 | 2020-11-03 |
| 1720688401 | Melissa Claire Kratz | Pharmacist | 930 Hwy 711 East, Pembroke, NC 28372 | 2020-10-30 |
| 1841775681 | Nikki Locklear | Counselor | 86 Three Hunts Dr., Pembroke, NC 28372 | 2018-09-27 |
| 1043703218 | Julie Anne Harrison-swartz | Nurse Practitioner | Uncp Student Health, 113 Hawk Drive, Pembroke, NC 28372 | 2018-06-12 |
| 1134627508 | William Dixon | Specialist/Technologist | One University Drive, Pembroke, NC 28372 | 2018-01-31 |
| 1740796291 | A Primary Choice, Inc. | In Home Supportive Care | 208 Union Chapel Road, Suite D, Pembroke, NC 28372 | 2017-12-20 |
| 1578924130 | William Joshua Johnson | Nurse Practitioner | 3334 Moss Neck Road, Pembroke, NC 28372 | 2016-03-10 |
| 1831560234 | Sungjun Jung | Pharmacist | 930 Nc Hwy 711 E, Pembroke, NC 28372 | 2015-10-12 |
| 1154715027 | Lilly Marie Shorter | Counselor | 86 Three Hunt Drive, Pembroke, NC 28372 | 2015-03-27 |
| 1487046728 | Eye Heart You Home Health, LLC | Public Health or Welfare | 925 University Road, Pembroke, NC 28372 | 2015-02-24 |
| Find all providers in zip 28372 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326028671 | Pembroke Drug Center, Inc. | Durable Medical Equipment & Medical Supplies | 209 W 3rd St, Pembroke, NC 28372-8768 | 2006-01-20 |
| 1922471424 | Healthkeeperz, Inc | Durable Medical Equipment & Medical Supplies | 209 W 3rd St, Pembroke, NC 28372-8768 | 2015-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939981 | Beacon Respiratory Services of Georgia Inc. | Durable Medical Equipment & Medical Supplies | 1295 Old Us 1 Hwy Ste A, Southern Pines, NC 28387-6344 | 2020-07-17 |
| 1326680554 | Ramona Artis | Durable Medical Equipment & Medical Supplies | 1047 Murchison Rd Ste 106, Fayetteville, NC 28301-7027 | 2019-10-09 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1770145047 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1248 Huffman Mill Rd Ste B, Burlington, NC 27215-8700 | 2019-07-07 |
| 1235691395 | Trinity Healthcare of Winston Salem, Inc. | Durable Medical Equipment & Medical Supplies | 610 N Fayetteville St Ste 102, Asheboro, NC 27203-4671 | 2019-04-05 |
| 1821554569 | William J Lowery | Durable Medical Equipment & Medical Supplies | 4400 Park Rd Ste 320, Charlotte, NC 28209-3139 | 2019-02-19 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1649743584 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 1005 South Kings Drive, Charlotte, NC 28207 | 2019-01-03 |
| 1568935401 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 111 Commerce Centre Drive, Suite 305, Huntersville, NC 28078 | 2019-01-03 |
| 1568933091 | Respracare, Inc. | Durable Medical Equipment & Medical Supplies | 918 Halstead Blvd Ste A1, Elizabeth City, NC 27909-7034 | 2018-12-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.