J Iverson Riddle Development Center

LBN: Pharmacy Of J Iverson Riddle Development Center
J Iverson Riddle Development Center is an health care organization with primary practice located at 300 Enola Rd Pharmacy Department, Morganton NC 28655-4608. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Pharmacy Of J Iverson Riddle Development Center can be contacted via phone (828) 433-2653, or through Swearingen, Janice via phone (828) 433-2683.

Contact Information

Primary practice address
300 Enola Rd Pharmacy Department Morganton NC 28655-4608
Phone: (828) 433-2653
Fax: (828) 433-2894
Website:
Map and Directions
Authorized official contact:
Name: Swearingen, Janice RPH
Phone: (828) 433-2683

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Institutional Pharmacy 3336I0012X
Suppliers / Long Term Care Pharmacy 3336L0003X 02677 North Carolina

Profile Details

NPI number 1033271002
LBN Legal business name Pharmacy Of J Iverson Riddle Development Center
DBA Doing business as J Iverson Riddle Development Center
Authorized official Swearingen, Janice RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2006
Last updated Mar 7th, 2024 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033271002 NPPES
Other 2066483 PK
MEDICAID 3406014 PK

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