MEDICARE: PILL CADDY 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
2	3336C0003X	Community/Retail Pharmacy	10352	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2121751	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952634115
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PILL CADDY INC

Provider Business Mailing Address
First Line	:	155 W JONES ST
Second Line	:
City	:	TRENTON
State	:	NC
Zip	:	28585-7599
Country	:	US
Telephone Number	:	252-448-2901
Fax Number	:	252-448-1100

Provider Business Practice Location Address
First Line	:	155 W JONES ST
Second Line	:
City	:	TRENTON
State	:	NC
Zip	:	28585-7599
Country	:	US
Telephone Number	:	252-448-2901
Fax Number	:	252-448-1100

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PAIGE KILLINGSWORTH
Credential	:	PHARM.D.
Telephone Number	:	252-448-2901

Provider Enumeration Date	:	09/04/2009
Last Update Date	:	06/10/2025

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Directions to “PILL CADDY INC ” Practice Location

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