NPI Code Detail JSON Logo

1477611663 NPI number — MEDICAL CENTER PHARMACY OF WILMINGTON, LLC

NPI Number: 1477611663
Health Care Provider/Practitioner: MEDICAL CENTER PHARMACY OF WILMINGTON, LLC

Information about “1477611663” NPI (MEDICAL CENTER PHARMACY OF WILMINGTON, LLC) exists in 1477611663 in HTML format HTML  |  1477611663 in plain Text format TXT  |  1477611663 in PDF (Portable Document Format) PDF  |  1477611663 in an XML format XML  formats.

NPI Number : 1477611663 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477611663",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MEDICAL CENTER PHARMACY OF WILMINGTON, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "912 S 16TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WILMINGTON",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28401-8016",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "910-763-1896",
    "MailingAddressFaxNumber": "910-763-1709",
    "FirstLinePracticeLocationAddress": "912 S 16TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WILMINGTON",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28401-8016",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "910-763-1896",
    "PracticeLocationAddressFaxNumber": "910-763-1709",
    "EnumerationDate": "12/04/2006",
    "LastUpdateDate": "01/16/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MURPHY",
    "AuthorizedOfficialFirstName": "AUSTIN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "VP/MANAGER/SECRETARY",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "305-808-9838",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3336C0003X",
        "TaxonomyName": "Community/Retail Pharmacy",
        "LicenseNumber": "5247",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.