Provider Demographics
NPI:1609973544
Name:NEW BARBEE PHARMACY LLC
Entity Type:Organization
Organization Name:NEW BARBEE PHARMACY LLC
Other - Org Name:BARBEE PHARMACY & GIFTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KALPANA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOTTIPATI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-652-6261
Mailing Address - Street 1:415 HARRIS AVE
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-3111
Mailing Address - Country:US
Mailing Address - Phone:910-875-6111
Mailing Address - Fax:910-875-9726
Practice Address - Street 1:415 HARRIS AVE
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-3111
Practice Address - Country:US
Practice Address - Phone:910-875-6111
Practice Address - Fax:910-875-9726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NC132923336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2170867OtherPK
2069166OtherPK
2069166OtherPK