{
"Npi": {
"NPI": "1528071222",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HOME CARE PHARMACY INC NC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "5037 HALIFAX ROAD",
"SecondLineMailingAddress": "PO BOX 1070 STE N",
"MailingAddressCityName": "HALIFAX",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "24553-3185",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "434-572-4274",
"MailingAddressFaxNumber": "434-572-6889",
"FirstLinePracticeLocationAddress": "104 PARK AVENUE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SANFORD",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "27330-4027",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "800-948-3918",
"PracticeLocationAddressFaxNumber": "919-775-1360",
"EnumerationDate": "08/14/2006",
"LastUpdateDate": "09/11/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STANFIELD",
"AuthorizedOfficialFirstName": "WAYNE",
"AuthorizedOfficialMiddleName": "E",
"AuthorizedOfficialTitle": "VP",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "434-572-4274",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": "05976",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": "05976",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}