NPI 1114001955 · live from the CMS NPI Registry
Beach Rx, INC.
Pharmacy, Community/Retail Pharmacy in Avon, NC. National Provider Identifier 1114001955, active.
NPI record
| NPI | 1114001955 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 41934 Hwy 12, Avon, NC 27915 |
| Practice phone | 252-995-3811 |
| Mailing address | P.O. Box 660, Avon, NC 27915 |
| Enumerated | October 25, 2006 |
| Last updated | January 25, 2023 |
| Authorized official | Matthew Thornbrough, President/Pharmacist |
| Other names | Beach Pharmacy Of Avon |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — |
| Pharmacy | 333600000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | 04503 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.