PUNGO RIVER PHARMACY INC NPI 1396882973

NPI Information

  • NPI: 1396882973
  • Provider Name: PUNGO RIVER PHARMACY INC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 892 US HIGHWAY 264 BYP
    BELHAVEN, NC
    ZIP 27810
  • Phone: (252) 943-2585

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NPI Details

PUNGO RIVER PHARMACY INC is a durable medical equipment medical supplies in Belhaven, NC. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PUNGO RIVER PHARMACY INC NPI is 1396882973. The provider is registered as an organization entity type.

The provider's business location address is:

892 US HIGHWAY 264 BYP
BELHAVEN, NC
ZIP 27810-771
Phone: (252) 943-2585
Fax: (252) 943-3076

The provider's authorized official is Scott Ellis .
The authorized official title is Owner and has the following contact phone number (252) 943-2585.

The enumeration date for this NPI number is 1/31/2007 and was last updated on 9/19/2011.

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
13336C0003XPharmacyCommunity/Retail PharmacyNo
2332B00000XDurable Medical Equipment & Medical 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17700043MEDICAIDNORTH CAROLINA
20152730001MEDICARE NSC

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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