MEDICARE: EBP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	12534	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2150943	OTHER		PK

General Provider Information

NPI Number	:	1215042536
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EBP LLC

Provider Business Mailing Address
First Line	:	345 DEERFIELD RD
Second Line	:
City	:	BOONE
State	:	NC
Zip	:	28607-5009
Country	:	US
Telephone Number	:	828-355-3365
Fax Number	:	828-264-0543

Provider Business Practice Location Address
First Line	:	300 MAIN AVE W
Second Line	:
City	:	HILDEBRAN
State	:	NC
Zip	:	28637-8315
Country	:	US
Telephone Number	:	828-397-3420
Fax Number	:	828-397-3477

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	SPENCER W HODGES
Credential	:	PHARMD
Telephone Number	:	828-264-3055

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	03/07/2025

Similar Medicare Providers

1306138813 — RUSSELL GLENN ABERNATHY RPH
Practice Location Address:

300 MAIN AVE W
HILDEBRAN, NC
28637-8315

Practice Phone: 828-397-3420
Practice Fax:

1851652200 — JENNIFER STEWART KISTLER PHARM.D.
Practice Location Address:

300 MAIN AVE W
HILDEBRAN, NC
28637-8315

Practice Phone: 828-397-3420
Practice Fax: 828-397-3477

1861851859 — EBP LLC
Practice Location Address:

300 MAIN AVE W
HILDEBRAN, NC
28637-8315

Practice Phone: 828-397-3420
Practice Fax: 828-264-0543

1255331609 — DR. AARON V SWISHER M.D.
Practice Location Address:

107 S CENTER ST
HILDEBRAN, NC
28637-8304

Practice Phone: 828-397-3522
Practice Fax: 828-397-5271

1598765935 — HILDEBRAN MEDICAL CLINIC, LLC
Practice Location Address:

107 S CENTER ST
HILDEBRAN, NC
28637-8304

Practice Phone: 828-397-3522
Practice Fax: 828-397-5271

1750329918 — GARY L. MARTIN M.D.
Practice Location Address:

107 S CENTER ST
HILDEBRAN, NC
28637-8304

Practice Phone: 828-397-3522
Practice Fax: 828-397-3522

Directions to “EBP LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.