PEMBROKE DRUG CENTER (NPI# 1306935325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306935325 |
| Entity Type | Organization |
| Organization Name | PEMBROKE DRUG CENTER |
| Other Organization Name | HEALTHKEEPERZ PHARMACY |
| Practice Address |
812 Candy Park Road Pembroke NC 28372 |
| Practice Telephone | 9105221041 |
| Practice Fax Number | 9105221085 |
| Mailing Fax Number | 9105221085 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2008-07-21 |
| Authorized Official Name | MR. HOWARD D BROOKS (PRESIDENT) |
| Authorized Official Telephone | 9105550001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 05100 | NC | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7704478 | 05 | |
| NC | 0785683 | 05 |
| Other Name | Type Code |
|---|---|
| HEALTHKEEPERZ PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851624068 | Pembroke Drug Center | Durable Medical Equipment & Medical Supplies | 241 Singleton Ridge Rd Unit B, Conway, SC 29526-8371 | 2009-09-08 |
| 1720173396 | Pembroke Drug Center | Durable Medical Equipment & Medical Supplies | 4155 Ferncreek Dr, Fayetteville, NC 28314-2581 | 2006-10-03 |
| Street Address |
812 CANDY PARK ROAD |
| City | PEMBROKE |
| State | NC |
| Zip Code | 28372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255403580 | Family Alternatives | Counselor | 812 Candy Park Road, Suite 5101, Pembroke, NC 28372 | 2006-11-14 |
| 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 | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688401 | Melissa Claire Kratz | Pharmacist | 930 Hwy 711 East, Pembroke, NC 28372 | 2020-10-30 |
| 1841764503 | Susanne Inman Faircloth | Pharmacist | 812 Candy Park Rd Ste 7101, Pembroke, NC 28372-9129 | 2019-01-16 |
| 1831560234 | Sungjun Jung | Pharmacist | 930 Nc Hwy 711 E, Pembroke, NC 28372 | 2015-10-12 |
| 1366698938 | Katie Joanne Marlowe | Pharmacist | 201 E Livermore Dr, Pembroke, NC 28372 | 2008-08-14 |
| 1710155486 | Monique L. Alford | Pharmacist | 503 East Third Street, Pembroke, NC 28372 | 2008-02-15 |
| 1013538404 | Colin Lee Lowery | Pharmacist | 407 W 3rd St, Pembroke, NC 28372-7977 | 2020-04-27 |
| 1790311785 | Candace Lane Altman | Pharmacist | 546 W Bacon St, Pembroke, GA 31321-4648 | 2020-03-21 |
| 1225500036 | Donna Jean Oxendine-dial | Pharmacist | 307 E Wardell Dr, Pembroke, NC 28372 | 2018-12-19 |
| 1477022887 | Brian David Mitchem | Pharmacist | 546 W Bacon St, Pembroke, GA 31321-4648 | 2018-11-14 |
| 1497291447 | Roshni Lal Ramirez | Pharmacist | 503 E 3rd St, Pembroke, NC 28372-7989 | 2017-01-15 |
| Find all providers in PEMBROKE | ||||
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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.