ETOWAH PHARMACY, INC. (NPI# 1861613994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861613994 |
| Entity Type | Organization |
| Organization Name | ETOWAH PHARMACY, INC. |
| Practice Address |
6527 Brevard Rd. Etowah NC 28729-0351 |
| Mailing Address |
6527 Brevard Road Etowah NC 28729-0351 |
| Practice Telephone | 8288900022 |
| Mailing Telephone | 8288900022 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2013-06-25 |
| Authorized Official Name | MR. DOUGLAS LONDON (PHARMACIST) |
| Authorized Official Telephone | 8288900022 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
7580 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NABP | 3437894 | 01 |
| NC | DEA | BE6792077 | 01 |
| NC | PHARMACY PERMIT NUMBER | 7580 | 01 |
| NC | 0445626 | 05 |
| Street Address |
6527 BREVARD RD. |
| City | ETOWAH |
| State | NC |
| Zip Code | 28729-0351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790876647 | Douglas London | Pharmacist | 6527 Brevard Rd., Etowah, NC 28729-0351 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114563657 | James Robert Freeman Jr. | Occupational Therapist | 395 Scarlet Oaks Drive, Etowah, NC 28729 | 2019-11-19 |
| 1447347240 | William Sidney Newsom IIi | Dentist | 24 Mckinney Road, Etowah, NC 28729 | 2006-10-05 |
| 1265627574 | Elizabeth Saft | Family Medicine | 6503 Brevard Rd, Etowah, NC 28729 | 2007-09-10 |
| 1841313632 | Shann Lyle Davis | Physician Assistant | 2 Etowah School Road, Etowah, NC 28729 | 2007-04-09 |
| 1588729545 | Don Jablonski Do Pa | Clinic/Center | 2 Etowah School Road, Etowah, NC 28729 | 2006-12-27 |
| 1588102396 | Christin Stines | Occupational Therapy Assistant | 386 River Breeze Ln, Etowah, NC 28729-0049 | 2017-02-01 |
| 1568532729 | Donald Edward Jablonski | Family Medicine | 2 Etowah School Road, Etowah, NC 28729-1925 | 2006-11-08 |
| 1457619819 | Teresa D Jones | Adult Companion | 45 Misty Mountain Dr Apt 21, Etowah, NC 28729-7743 | 2012-04-24 |
| 1457344616 | Ruth H Christos | Nurse Practitioner | 6503 Brevard Rd, Etowah, NC 28729-8739 | 2005-08-23 |
| 1790099927 | Pardee Hendersonville Family Health Center-etowah | Family Medicine | 6503 Brevard Rd, Etowah, NC 28729-8739 | 2010-07-29 |
| Find all providers in zip 28729 | ||||
| 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] |
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| 1356977672 | Cape Fear Discount Drug - Hope Mills, LLC | Pharmacy | 3018 N Main St, Hope Mills, NC 28348-1722 | 2020-03-18 |
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| 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.