NEW MASSEY HILL PHARMACY LLC (NPI# 1174650998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174650998 |
| Entity Type | Organization |
| Organization Name | NEW MASSEY HILL PHARMACY LLC |
| Other Organization Name | MASSEY HILL DRUG CO. |
| Practice Address |
1072 Southern Ave Fayetteville NC 28306-1766 |
| Practice Telephone | 9104840150 |
| Practice Fax Number | 9104843270 |
| Mailing Telephone | 9104840150 |
| Mailing Fax Number | 9104843270 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2016-08-26 |
| Authorized Official Name | MR. SRIDHAR GOTTIPATI (PHARMACIST OWNER) |
| Authorized Official Telephone | 9104840159 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
10320 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 0267534 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3406091 | 01 |
| Other Name | Type Code |
|---|---|
| Massey Hill Drug Co. | Doing Business As Name - Organization |
| Street Address |
1072 SOUTHERN AVE |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28306-1766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346474194 | Massey Hill Pharmacy LLC | Pharmacy | 1072 Southern Ave, Fayetteville, NC 28306-1766 | 2009-05-07 |
| 1205092913 | Venkata Gangadhar Bodduluri | Pharmacist | 1072 Southern Ave, Fayetteville, NC 28306-1766 | 2008-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013539501 | Lauren Lockhart | Pharmacist | 5106 Nc-87 #100, Fayetteville, NC 28306 | 2020-05-07 |
| 1528687472 | Edutherapy Connection LLC | Occupational Therapist | 3518 Grenedine Dr, Fayetteville, NC 28306 | 2020-04-10 |
| 1245708213 | Catherine H Cox | Speech-Language Pathologist | Southeastern Communication and Swallowing Specialists, 3530 Boone Trail, Fayetteville, NC 28306 | 2018-11-08 |
| 1720446776 | Wal-mart Store East, Lp | Technician/Technologist | 2820 Gillespie St., Fayetteville, NC 28306 | 2016-02-05 |
| 1720460017 | Sridhar Gottipati | Pharmacist | 10072 Southern Ave., Fayetteville, NC 28306 | 2015-06-23 |
| 1942687900 | St Marys Hca of South Carolina | Clinic/Center | 2603 Cumberland Gap Drive, Suite 203, Fayetteville, NC 28306 | 2015-04-29 |
| 1649696204 | Kathryn Dries | Nurse Practitioner | 7496 Rockfish Road, Fayetteville, NC 28306 | 2014-03-06 |
| 1508288218 | Teresa Mcneill | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3608 Pickerel St, Fayetteville, NC 28306 | 2014-01-15 |
| 1740535715 | Harris Teeter, LLC | Pharmacy | 3050 Traemoor Village Dr, Fayetteville, NC 28306 | 2012-07-17 |
| 1184928848 | Hanora Medical Center, Pllc | Internal Medicine | 2620 Owen Dr, Fayetteville, NC 28306 | 2011-01-10 |
| Find all providers in zip 28306 | ||||
| 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 |
|---|---|---|---|---|
| 1639705957 | Cape Fear Discount Drug - Ramsey, LLC | Pharmacy | 4417 Ramsey St, Fayetteville, NC 28311-2134 | 2020-03-18 |
| 1003391491 | Platinum Pharmacy | Pharmacy | 935 Lanier Ave W Ste 1008, Fayetteville, GA 30214-7434 | 2018-10-01 |
| 1649635459 | Walmart Inc. | Pharmacy | 660 W Martin Luther King Blvd, Fayetteville, AR 72701-6443 | 2015-12-21 |
| 1003203878 | R & R Medical Inc | Pharmacy | 2127 N Center St, Suite 1, Fayetteville, AR 72701-9449 | 2015-04-20 |
| 1598171910 | Express Discount Pharmacy LLC | Pharmacy | 1905 Skibo Rd Ste 104, Fayetteville, NC 28314-0261 | 2014-07-07 |
| 1760803035 | Walgreen Co | Pharmacy | 4015 W Wedington Dr, Fayetteville, AR 72704-5733 | 2014-01-03 |
| 1740535715 | Harris Teeter, LLC | Pharmacy | 3050 Traemoor Village Dr, Fayetteville, NC 28306 | 2012-07-17 |
| 1093013591 | Nugen Pharmacy LLC | Pharmacy | 101 Yorktown Dr Ste 102, Fayetteville, GA 30214-1568 | 2011-03-08 |
| 1477880185 | Carlie Cs of Cliffdale LLC | Pharmacy | 690 S Reilly Rd, Fayetteville, NC 28314-5626 | 2009-11-17 |
| 1922246818 | Calhoun Family Pharmacy Inc | Pharmacy | 4417 Ramsey Street, Fayetteville, NC 28311 | 2009-01-30 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28306 |
Please comment or provide details below to improve the information on NEW MASSEY HILL PHARMACY LLC.
| 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.