MEDICARE: CUMBERLAND PHARMACIES INC

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	3078	NC
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3413349	OTHER	OTHER ID NUMBER-COMMERCIAL NUMBER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316052350
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CUMBERLAND PHARMACIES INC

Provider Business Mailing Address
First Line	:	530 GROVE ST
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28301-5140
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	530 GROVE ST
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28301-5140
Country	:	US
Telephone Number	:	910-483-5117
Fax Number	:	910-483-0265

Authorized Official
Title or Position	:	PHARMACIST
Name	:	AMY BOWDEN
Credential	:	RPH
Telephone Number	:	910-483-5117

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	03/07/2023

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Directions to “CUMBERLAND PHARMACIES INC ” Practice Location

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