GUARDIAN PHARMACY OF EASTERN NC, LLC (NPI# 1821387911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821387911 |
| Entity Type | Organization |
| Organization Name | GUARDIAN PHARMACY OF EASTERN NC, LLC |
| Other Organization Name | SOUTHERN PHARMACY SERVICES |
| Practice Address |
4459 Tarheel Dr Pink Hill NC 28572-9649 |
| Mailing Address |
Dept # 2435 Guardian Pharmacy of Eastern Nc P.o. Box 11407 Birmingham AL 35246-0001 |
| Practice Telephone | 2525689945 |
| Practice Fax Number | 8669283983 |
| Mailing Telephone | 4048100089 |
| Mailing Fax Number | 4048100094 |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | CHAD TERRY (CO-PRESIDENT) |
| Authorized Official Telephone | 8667688479 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
10966 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1821387911 | 05 | |
| PK | 2130223 | 01 | |
| SC | 7N0965 | 05 | |
| VA | 1821387911 | 05 |
| Other Name | Type Code |
|---|---|
| Southern Pharmacy Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730478827 | Guardian Pharmacy of Eastern Nc, LLC | Durable Medical Equipment & Medical Supplies | 1031 E Mountain St Bldg 319, Kernersville, NC 27284-7998 | 2011-03-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | Guardian Pharmacy of Eastern NC, LLC | 1776 Peachtree Street, N.W., Suite 500, South Tower , Atlanta, GA 30309-2307 |
| Virginia Business Entity | Guardian Pharmacy of Eastern NC, LLC | 171 17TH STREET NW SUITE 1400, ATLANTA, GA 30363 |
| Street Address |
4459 TARHEEL DR |
| City | PINK HILL |
| State | NC |
| Zip Code | 28572-9649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508378662 | Candi Waters Batchelor | Pharmacist | 4459 Tarheel Dr, Pink Hill, NC 28572-9649 | 2017-10-30 |
| 1811416167 | Cynthia Robinson King | Pharmacist | 4459 Tarheel Dr, Pink Hill, NC 28572-9649 | 2017-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992803027 | Southerm Medical and Equipment Sales, L.p. | Durable Medical Equipment & Medical Supplies | 4459 Tarheel Drive, Suite D, Pink Hill, NC 28572 | 2006-09-20 |
| 1598785610 | Michael Gregg Wiggins Jr. | Pharmacist | 107 West Broadway Street, Pink Hill, NC 28572 | 2006-07-20 |
| 1194700799 | Edwin P Little | Family Medicine | 103 S Central Ave, Pink Hill, NC 28572 | 2005-12-07 |
| 1063505774 | Ricetta Rx North Carolina LLC | Pharmacy | 4459 Tarheel Drive, Pink Hill, NC 28572 | 2006-10-02 |
| 1003047069 | Magnanimous Group Home LLC | Case Management | 9407 Hwy 41 W, Pink Hill, NC 28572-7021 | 2009-08-06 |
| 1912934845 | Tar Heel Health Care Services, LLC | Home Health | 206 S Turner St, Pink Hill, NC 28572-7880 | 2006-06-27 |
| 1215995873 | Pink Hill Chiropractic, Pa | Chiropractor | 312 W Broadway St, Pink Hill, NC 28572-7986 | 2006-05-03 |
| 1013965938 | Jennifer Trachte Murphy | Chiropractor | 312 W Broadway St, Pink Hill, NC 28572-7986 | 2006-05-04 |
| 1164672093 | Realo Discount Drug Stores of Pink Hill, Inc. | Pharmacy | 107 W Broadway St, Pink Hill, NC 28572-7998 | 2008-09-29 |
| 1184722068 | Realo Discount Drug Stores of Pink Hill, Inc. | Pharmacy | 107 W Broadway St, Pink Hill, NC 28572-7998 | 2006-09-21 |
| Find all providers in zip 28572 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1013008945 | Southern Associates of The Carolinas, Inc | Pharmacy | 4459 Tar Hill Dr, Pink Hill, NC 28572-9649 | 2006-09-27 |
| 1326120296 | Ricetta Rx North Carolina, LLC | Pharmacy | 4459 Tar Hill Dr, Pink Hill, NC 28572-9649 | 2006-10-20 |
| 1063505774 | Ricetta Rx North Carolina LLC | Pharmacy | 4459 Tarheel Drive, Pink Hill, NC 28572 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982236584 | Premier Pharmacy and Wellness Center LLC | Pharmacy | 3010 Monroe Rd Ste 101, Charlotte, NC 28205-7533 | 2020-02-11 |
| 1114564564 | Gaben | Pharmacy | 6602 Knightdale Blvd Ste 120, Knightdale, NC 27545-6567 | 2019-12-04 |
| 1316588346 | Nuevo Health, Inc | Pharmacy | 937 Old Knight Rd, Knightdale, NC 27545-9065 | 2019-10-01 |
| 1164987996 | Austin Drugs, Inc | Pharmacy | 3513 Suite B Highway 74 E, Monroe, NC 28110 | 2019-02-06 |
| 1326503657 | Village Pharmacy of Hampstead Inc | Pharmacy | 14057 Hwy 17, Suite 100, Hampstead, NC 28443 | 2019-01-31 |
| 1689148496 | Pharmscript of Nc LLC | Pharmacy | 140 Southcenter Ct Ste 600, Morrisville, NC 27560-8538 | 2019-01-15 |
| 1356812432 | Polaris Pharmacy Services of North Carolina, LLC | Pharmacy | 3300 Monroe Rd Unit E&f, Charlotte, NC 28205-7853 | 2018-12-16 |
| 1043799356 | Nelan LLC | Pharmacy | 3541 Randolph Rd Ste 104, Charlotte, NC 28211-1081 | 2018-08-08 |
| 1699280008 | The Script LLC | Pharmacy | 1450 Shaire Center Drive, Hudson, NC 28638 | 2017-12-07 |
| 1528592813 | Triad Choice Pharmacy | Pharmacy | 658 Waughtown St, Winston Salem, NC 27107-2217 | 2017-04-13 |
| 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.