BLACK RIVER HEALTH NPI 1134507775

NPI Information

  • NPI: 1134507775
  • Provider Name: BLACK RIVER HEALTH
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: MAPLE HILL PHARMACY
  • Address: 4811 NC HIGHWAY 50
    MAPLE HILL, NC
    ZIP 28454
  • Phone: (910) 259-8880

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NPI Details

BLACK RIVER HEALTH is a community/retail pharmacy pharmacy in Maple Hill, NC. The provider is 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. BLACK RIVER HEALTH NPI is 1134507775. The provider is registered as an organization entity type.
The provider Is Doing Business As Maple Hill Pharmacy.

The provider's business location address is:

4811 NC HIGHWAY 50
MAPLE HILL, NC
ZIP 28454-153
Phone: (910) 259-8880
Fax: (910) 259-4144

The provider's authorized official is Wendy A Alvanos .
The authorized official title is Pharmacy Manager and has the following contact phone number (910) 259-8880.

The enumeration date for this NPI number is 5/15/2015 and was last updated on 5/15/2015.

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
1332B00000XDurable Medical Equipment & Medical Supplies5080210001NORTH CAROLINANo
23336C0003XPharmacyCommunity/Retail PharmacyNC08408NORTH 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
13426663OTHERNORTH CAROLINANABP
20715269MEDICAIDNORTH 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: 11/21/2025

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