Healthcare Provider Details

I. General information

NPI: 1528071222
Provider Name (Legal Business Name): HOME CARE PHARMACY INC NC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 PARK AVENUE
SANFORD NC
27330-4027
US

IV. Provider business mailing address

5037 HALIFAX ROAD PO BOX 1070 STE N
HALIFAX VA
24553-3185
US

V. Phone/Fax

Practice location:
  • Phone: 800-948-3918
  • Fax: 919-775-1360
Mailing address:
  • Phone: 434-572-4274
  • Fax: 434-572-6889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number05976
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number05976
License Number StateNC

VIII. Authorized Official

Name: MR. WAYNE E STANFIELD
Title or Position: VP
Credential:
Phone: 434-572-4274