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Export Provider Record NPI 1073564928
Professional Pharmacy Inc
Organization Subpart: NO
Active
NPI Number1073564928
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1073564928
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-05-15
Last Updated2011-10-15
Authorized OfficialEdward Beam
Owner
Phone: 7044878068
Mailing AddressPo Box 1168
Boiling Springs, NC 28017-1168
United States
Phone: (704) 434-9897
📍 View Map
Primary Practice Address139 1/2 E College Ave
Boiling Springs, NC 28017-1168
United States
Phone: (704) 434-9897
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDNC7703606
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No332B00000X – Durable Medical Equipment & Medical Supplies
Yes3336C0003X – Pharmacy, Community/Retail PharmacyNC07896
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About NPI 1073564928

Professional Pharmacy Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1073564928. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Boiling Springs, NC. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-15. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1073564928?

NPI 1073564928 belongs to Professional Pharmacy Inc, a Pharmacy, Community/Retail Pharmacy in Boiling Springs, NC. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1073564928 active?

The current status of NPI 1073564928 in the NPPES registry is Active. The record was last updated on 2011-10-15.

What specialty is NPI 1073564928?

NPI 1073564928 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1073564928?

You can verify NPI 1073564928 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1073564928?

The primary practice address on file for NPI 1073564928 is 139 1/2 E College Ave, Boiling Springs, NC 28017-1168. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1073564928 issued?

NPI 1073564928 was first issued (enumerated) on 2006-05-15. The NPPES record was last updated on 2011-10-15.

Practice Location Map

Professional Pharmacy Inc is located at 139 1/2 E College Ave, Boiling Springs, NC. Use the map below to find directions or verify the practice location.

📍 139 1/2 E College Ave, Boiling Springs, NC 28017-1168  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Professional Pharmacy Inc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1073564928. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Community/Retail Pharmacy07896NC
Data Verified from CMS NPPES Last synced: 2026-06-19 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162