MEDICAL PARK PHARMACY EAST, INC. (NPI# 1396886701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396886701 |
| Entity Type | Organization |
| Organization Name | MEDICAL PARK PHARMACY EAST, INC. |
| Other Organization Name | MEDICAL PARK PHARMACY EAST |
| Practice Address |
1513 Live Oak St Beaufort NC 28516-1518 |
| Practice Telephone | 2525042800 |
| Practice Fax Number | 2525042805 |
| Mailing Telephone | 2525042800 |
| Mailing Fax Number | 2525042805 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2011-09-06 |
| Authorized Official Name | JEFFREY ALAN WILLIAMS (PRESIDENT) |
| Authorized Official Telephone | 2525042800 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
09182 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7704457 | 05 | |
| NC | 0165449 | 05 |
| Other Name | Type Code |
|---|---|
| Medical Park Pharmacy East | Doing Business As Name - Organization |
| Street Address |
1513 LIVE OAK ST |
| City | BEAUFORT |
| State | NC |
| Zip Code | 28516-1518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821085853 | Amanda Whitehead Boyd | Pharmacist | 1513 Live Oak St, Beaufort, NC 28516-1518 | 2005-10-04 |
| 1861932238 | Jonathan Ross | Pharmacist | 1513 Live Oak St, Beaufort, NC 28516-1518 | 2017-03-03 |
| 1649642422 | Medical Park Pharmacy East, Inc | Pharmacy | 1513 Live Oak St, Beaufort, NC 28516-1518 | 2015-10-20 |
| 1609243427 | Jeffrey Williams | Pharmacist | 1513 Live Oak St, Beaufort, NC 28516-1518 | 2015-08-27 |
| 1871886192 | Nicki Guy Newman | Pharmacist | 1513 Live Oak St, Beaufort, NC 28516-1518 | 2011-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891286696 | Hannah Lee Thompson | Dentist | 1619 Like Oak St, Beaufort, NC 28516 | 2018-05-29 |
| 1487952560 | Renee Fowler Laton | Pharmacist | 1710 Main St, Beaufort, NC 28516 | 2011-03-14 |
| 1184927162 | Otway Pharmacy Partners, Inc | Pharmacy | 708 Highway 70 East - Otway, Beaufort, NC 28516 | 2010-12-13 |
| 1467683441 | Richard H. Grossheim | Pharmacist | 708 Hwy 70 East-otway, Beaufort, NC 28516 | 2009-08-07 |
| 1114177144 | Winifred G Mccarthy | Registered Nurse | 1224 Harkers Island Road, Beaufort, NC 28516 | 2008-09-26 |
| 1548389521 | Danielle W. Norris | Occupational Therapist | 908 Eastman Creek Drive, Beaufort, NC 28516 | 2007-03-28 |
| 1518019413 | William Jack Orton Sr. | Physician Assistant | 97 Campen Rd, Beaufort, NC 28516 | 2007-01-18 |
| 1003915018 | James J Crosswell Jr Md Pa | Family Medicine | 97 Campen Road, Beaufort, NC 28516 | 2006-09-22 |
| 1760595573 | Morehead City Drug Co | Pharmacy | 1404 Live Oak St, Beaufort, NC 28516 | 2006-08-16 |
| 1629099577 | Laura Ellen Holland | Nurse Practitioner | 301 Jones Avenue, Beaufort, NC 28516 | 2006-07-23 |
| Find all providers in zip 28516 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215411434 | Sound Pharmacy Services Inc | Pharmacy | 1507 Live Oak St Ste B, Beaufort, NC 28516-1573 | 2018-09-24 |
| 1184927162 | Otway Pharmacy Partners, Inc | Pharmacy | 708 Highway 70 East - Otway, Beaufort, NC 28516 | 2010-12-13 |
| 1760595573 | Morehead City Drug Co | Pharmacy | 1404 Live Oak St, Beaufort, NC 28516 | 2006-08-16 |
| 1649797168 | Walgreen Co | Pharmacy | 1294 Ribaut Rd, Beaufort, SC 29902-6143 | 2017-08-25 |
| 1649642422 | Medical Park Pharmacy East, Inc | Pharmacy | 1513 Live Oak St, Beaufort, NC 28516-1518 | 2015-10-20 |
| 1881890341 | Bell's Drug Store, Inc. | Pharmacy | 331 Front St, Beaufort, NC 28516-2124 | 2007-06-22 |
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| 1912516196 | Avs 2020 Inc | Pharmacy | 6118 Farrington Rd Ste H, Chapel Hill, NC 27517-8108 | 2020-07-23 |
| 1780202788 | Rosemond Salia | Pharmacy | 720 E Highway 74 Business, Rockingham, NC 28379 | 2020-07-07 |
| 1801410295 | Scenic Pharmacy, Inc | Pharmacy | 113 Scenic Outlet Ln Ste 1, Mount Airy, NC 27030-9978 | 2020-06-02 |
| 1356977672 | Cape Fear Discount Drug - Hope Mills, LLC | Pharmacy | 3018 N Main St, Hope Mills, NC 28348-1722 | 2020-03-18 |
| 1639705957 | Cape Fear Discount Drug - Ramsey, LLC | Pharmacy | 4417 Ramsey St, Fayetteville, NC 28311-2134 | 2020-03-18 |
| 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.