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PHARMACY OF J IVERSON RIDDLE DEVELOPMENT CENTER NPI 1033271002


NPI Information

NPI: 1033271002
Provider Name: PHARMACY OF J IVERSON RIDDLE DEVELOPMENT CENTER

Doing Business As: J IVERSON RIDDLE DEVELOPMENT CENTER

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 34D0708800

Address:
300 ENOLA RD
PHARMACY DEPARTMENT
MORGANTON, NC
ZIP 28655
Phone: (828) 433-2653
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PHARMACY OF J IVERSON RIDDLE DEVELOPMENT CENTER is a long term care pharmacy pharmacy in Morganton, NC. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. PHARMACY OF J IVERSON RIDDLE DEVELOPMENT CENTER NPI is 1033271002. The provider is registered as an organization entity type.
The provider Is Doing Business As J Iverson Riddle Development Center.

The provider's business location address is:

300 ENOLA RD
PHARMACY DEPARTMENT
MORGANTON, NC
ZIP 28655-608
Phone: (828) 433-2653
Fax: (828) 433-2894

The provider's authorized official is Janice Swearingen .
The authorized official title is Director Of Phcy Svcs and has the following contact phone number (828) 433-2683.

The CLIA number assigned to this NPI record is 34D0708800 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/15/2006 and was last updated on 3/7/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
33336I0012XPharmacyInstitutional PharmacyNo
43336L0003XPharmacyLong Term Care Pharmacy02677NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12066483OTHERPK
23406014MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.