Provider Demographics
NPI:1114091360
Name:HOSPICE PHARMACY SERVICES
Entity Type:Organization
Organization Name:HOSPICE PHARMACY SERVICES
Other - Org Name:PILL TIME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:BEAMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:335-243-7609
Mailing Address - Street 1:100 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27292-2362
Mailing Address - Country:US
Mailing Address - Phone:336-243-7609
Mailing Address - Fax:336-249-8572
Practice Address - Street 1:100 W 3RD ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27292-2362
Practice Address - Country:US
Practice Address - Phone:336-243-7609
Practice Address - Fax:336-249-8572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC56763336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0295642Medicaid