Provider Demographics
NPI:1194835876
Name:VIEWMONT PHARMACY, INC.
Entity Type:Organization
Organization Name:VIEWMONT PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPERATOR PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:P
Authorized Official - Last Name:PITTS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:828-322-1816
Mailing Address - Street 1:PO BOX 1288
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28603-1288
Mailing Address - Country:US
Mailing Address - Phone:828-322-1816
Mailing Address - Fax:828-322-4222
Practice Address - Street 1:53 13TH AVE NE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601
Practice Address - Country:US
Practice Address - Phone:828-322-1816
Practice Address - Fax:828-322-4222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7701828Medicaid
NC2800048Medicare PIN
NC7701828Medicaid