Healthcare Provider Details

I. General information

NPI: 1568673036
Provider Name (Legal Business Name): MURPHY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 03/07/2023
Certification Date: 07/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4130 E US HIGHWAY 64
MURPHY NC
28906-6845
US

IV. Provider business mailing address

4130 E US HIGHWAY 64
MURPHY NC
28906-6845
US

V. Phone/Fax

Practice location:
  • Phone: 828-837-8161
  • Fax:
Mailing address:
  • Phone: 828-837-8161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number3677
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number3677
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number3677
License Number StateNC

VIII. Authorized Official

Name: MIKE SHAVER
Title or Position: DIRECTOR OF REIMBURSEMENT
Credential:
Phone: 423-778-4712