RICETTA RX NORTH CAROLINA LLC NPI 1063505774

NPI Information

  • NPI: 1063505774
  • Provider Name: RICETTA RX NORTH CAROLINA LLC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Doing Business As: SOUTHERN PHARMACY SERVICES
  • Address: 4459 TARHEEL DRIVE
    PINK HILL, NC
    ZIP 28572
  • Phone: (252) 568-9945

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NPI Details

RICETTA RX NORTH CAROLINA LLC is a long term care pharmacy pharmacy in Pink Hill, 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. RICETTA RX NORTH CAROLINA LLC NPI is 1063505774. The provider is registered as an organization entity type.
The provider Is Doing Business As Southern Pharmacy Services.

The provider's business location address is:

4459 TARHEEL DRIVE
PINK HILL, NC
ZIP 28572
Phone: (252) 568-9945

The provider's authorized official is Chad Terry .
The authorized official title is Manager and has the following contact phone number (252) 568-9945.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 3/7/2023.

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
13336L0003XPharmacyLong Term Care Pharmacy09308NORTH 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
10545624MEDICAIDNORTH CAROLINA
23440891OTHERNABP

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: 11/21/2025

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