=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568517738
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALEXANDER'S APOTHECARIES, LTD
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/25/2007
-----------------------------------------------------
Last Update Date | 03/21/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 195 MAIN ST
-----------------------------------------------------
City | HIGHLANDS
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28741-8305
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-526-2366
-----------------------------------------------------
Fax | 828-526-9758
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | P.O. BOX 1258
-----------------------------------------------------
City | HIGHLANDS
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28741
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-526-2366
-----------------------------------------------------
Fax | 828-526-9758
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SEC./TREAS. & PHARMACY MANAGER
-----------------------------------------------------
Name | MRS. SHERRY H. SIMS
-----------------------------------------------------
Credential | R.PH.
-----------------------------------------------------
Telephone | 828-526-2366
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 11035
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 05381
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 11035N.C.
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | 5381N.C.
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------