Provider Demographics
NPI:1225182488
Name:REMEDY, INC
Entity Type:Organization
Organization Name:REMEDY, INC
Other - Org Name:REMEDY SHOPPE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMALA
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:HARTSELL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:910-575-3050
Mailing Address - Street 1:925-1 SUNSET COMMONS SEASIDE ROAD SW
Mailing Address - Street 2:
Mailing Address - City:OCEAN ISLE BEACH
Mailing Address - State:NC
Mailing Address - Zip Code:28469
Mailing Address - Country:US
Mailing Address - Phone:910-575-3050
Mailing Address - Fax:
Practice Address - Street 1:925-1 SEASIDE ROAD SW
Practice Address - Street 2:
Practice Address - City:OCEAN ISLE BEACH
Practice Address - State:NC
Practice Address - Zip Code:28469
Practice Address - Country:US
Practice Address - Phone:910-575-3050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7704626Medicaid
5945770001Medicare NSC