1568517738 NPI number — ALEXANDER'S APOTHECARIES, LTD

Table of content: (NPI 1568517738)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568517738 NPI number — ALEXANDER'S APOTHECARIES, LTD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALEXANDER'S APOTHECARIES, LTD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
DBA: HIGHLANDS PHARMACY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1568517738
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 1258
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HIGHLANDS
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28741
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-526-2366
Provider Business Mailing Address Fax Number:
828-526-9758

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
195 MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HIGHLANDS
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28741-8305
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-526-2366
Provider Business Practice Location Address Fax Number:
828-526-9758
Provider Enumeration Date:
01/25/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SIMS
Authorized Official First Name:
SHERRY
Authorized Official Middle Name:
H.
Authorized Official Title or Position:
SEC./TREAS. & PHARMACY MANAGER
Authorized Official Telephone Number:
828-526-2366

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  11035 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 183500000X , with the licence number: 05381 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 183500000X , with the licence number: 11035N.C. , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: 5381N.C. , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0565135 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3428364 . This is a "NABP" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".