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PEMBROKE DRUG CENTER NPI 1720173396


NPI Information

NPI: 1720173396
Provider Name: PEMBROKE DRUG CENTER

Doing Business As: HEALTHKEEPERZ

Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
4155 FERNCREEK DR
FAYETTEVILLE, NC
ZIP 28314
Phone: (910) 485-7131
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PEMBROKE DRUG CENTER is an oxygen equipment and supplies durable medical equipment medical supplies in Fayetteville, NC. PEMBROKE DRUG CENTER NPI is 1720173396. The provider is registered as an organization entity type.
The provider Is Doing Business As Healthkeeperz.

The provider's business location address is:

4155 FERNCREEK DR
FAYETTEVILLE, NC
ZIP 28314-581
Phone: (910) 485-7131
Fax: (910) 485-7132

The provider's authorized official is Timothy B Brooks .
The authorized official title is President and has the following contact phone number (910) 522-0001.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 8/20/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10573920005MEDICARE NSCNORTH CAROLINA
27704496MEDICAIDNORTH 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: 4/28/2024

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