PUNGO RIVER PHARMACY INC (NPI# 1588795488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588795488 |
| Entity Type | Organization |
| Organization Name | PUNGO RIVER PHARMACY INC |
| Practice Address |
892 Us Highway 264 Byp Belhaven NC 27810-9771 |
| Practice Telephone | 2529432585 |
| Practice Fax Number | 2529433076 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2011-09-26 |
| Authorized Official Name | SCOTT ELLIS (PRESIDENT) |
| Authorized Official Telephone | 2529432585 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
04520 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 0075242 | 05 | |
| OTHER ID NUMBER | 3403780 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396882973 | Pungo River Pharmacy Inc | Pharmacy | 892 Us Highway 264 Byp, Belhaven, NC 27810-9771 | 2007-01-31 |
| Street Address |
892 US HIGHWAY 264 BYP |
| City | BELHAVEN |
| State | NC |
| Zip Code | 27810-9771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396882973 | Pungo River Pharmacy Inc | Pharmacy | 892 Us Highway 264 Byp, Belhaven, NC 27810-9771 | 2007-01-31 |
| 1073845152 | Meagan Lauren Phelps | Orthotic Fitter | 892 Us Highway 264 Byp, Belhaven, NC 27810-9771 | 2010-02-01 |
| 1811149701 | Scott John Ellis | Pharmacist | 892 Us Highway 264 Byp, Belhaven, NC 27810-9771 | 2008-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649641093 | Katlyn Keech Peele | Nurse Practitioner | 598 West County Rd, Belhaven, NC 27810 | 2015-10-12 |
| 1437116761 | Helene Miller O'neal | Nurse Practitioner | 216 Haslin Street, Belhaven, NC 27810 | 2006-04-28 |
| 1083671135 | Charles Otis Boyette Md | Family Medicine | 216 Haslin Street, Belhaven, NC 27810 | 2006-05-01 |
| 1821525692 | Cameron Blake Smith | Nurse Practitioner | 146 N Ravenwood Ln, Belhaven, NC 27810-0059 | 2017-05-11 |
| 1467851626 | Coastal Family Practice, Pllc | Nurse Practitioner | 820 W Main St, Belhaven, NC 27810-1120 | 2014-08-13 |
| 1497196299 | Oneals Drug Store Inc | Pharmacist | 820 W Main St, Belhaven, NC 27810-1120 | 2013-07-10 |
| 1538266473 | Oneals Drug Store Inc | Pharmacy | 820 W Main St, Belhaven, NC 27810-1120 | 2006-09-20 |
| 1699880971 | Pungo Family Medicine Pa | Family Medicine | 245 Allen Street, Belhaven, NC 27810-1405 | 2006-08-20 |
| 1548246499 | David Horace Elliott II | Dentist | 233 Allen St, Belhaven, NC 27810-1405 | 2005-12-21 |
| 1265646053 | David H. Elliott, II | Exclusive Provider Organization | 233 Allen St, Belhaven, NC 27810-1405 | 2007-05-10 |
| Find all providers in zip 27810 | ||||
| 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 |
|---|---|---|---|---|
| 1396882973 | Pungo River Pharmacy Inc | Pharmacy | 892 Us Highway 264 Byp, Belhaven, NC 27810-9771 | 2007-01-31 |
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| 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.