Provider Demographics
NPI:1073685608
Name:BUSBEE'S PHARMACY
Entity Type:Organization
Organization Name:BUSBEE'S PHARMACY
Other - Org Name:HEALTHSMART PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:BUSBEE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:828-459-2149
Mailing Address - Street 1:PO BOX 10
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28610-0010
Mailing Address - Country:US
Mailing Address - Phone:828-459-2149
Mailing Address - Fax:828-459-2140
Practice Address - Street 1:3319 EAST MAIN
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:NC
Practice Address - Zip Code:28610
Practice Address - Country:US
Practice Address - Phone:828-459-2149
Practice Address - Fax:828-459-2140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC03889333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0185918Medicaid
3404910OtherOTHER ID NUMBER-COMMERCIAL NUMBER
3404910OtherOTHER ID NUMBER-COMMERCIAL NUMBER