SOUTHERN PINES PRESCRIPTION SHOPPE


Address: 1902 N Sandhills Blvd Ste B, Aberdeen, NC 28315-2347
Phone: 9106927467

SOUTHERN PINES PRESCRIPTION SHOPPE (NPI# 1659448371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659448371
Entity Type Organization
Organization Name SOUTHERN PINES PRESCRIPTION SHOPPE
Practice Address 1902 N Sandhills Blvd Ste B
Aberdeen
NC 28315-2347
Practice Telephone 9106927467
Enumeration Date 2006-11-29
Last Update Date 2020-08-22
Authorized Official Name MR. JON PATRICK MCCLAIN (OWNER)
Authorized Official Telephone 9106927467
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
07585 NC Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NC 7703459 05

Office Location

Street Address 1902 N SANDHILLS BLVD STE B
City ABERDEEN
State NC
Zip Code 28315-2347

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1013206705 Alvin D. Wilson Social Worker 115 Ashleigh Blvd, Aberdeen, NC 28315 2011-04-01
1841593167 Constance L. Pearson Counselor 100 Magnolial Square Court, Aberdeen, NC 28315 2010-12-08
1568799617 Tammie C Watkins Pharmacist 15911 Hwy 15-501, Aberdeen, NC 28315 2009-11-11
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

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1174612121 Aberdeen Medical Center Pharmacy, Inc Pharmacy 2201 6th Ave Se, Suite 23, Aberdeen, SD 57401-5130 2006-10-11

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Competitor

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City ABERDEEN
Zip Code 28315

Improve Information

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Dataset Information

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.

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