Provider Demographics
NPI:1629115571
Name:HAMPTON PHARMACY INC
Entity Type:Organization
Organization Name:HAMPTON PHARMACY INC
Other - Org Name:HAMPTON PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:828-264-3055
Mailing Address - Street 1:345 DEERFIELD RD
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-5009
Mailing Address - Country:US
Mailing Address - Phone:423-725-2327
Mailing Address - Fax:423-725-2353
Practice Address - Street 1:339 HIGHWAY 321
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:TN
Practice Address - Zip Code:37658-3277
Practice Address - Country:US
Practice Address - Phone:423-725-2327
Practice Address - Fax:423-725-2353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TN00000034753336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4433859Medicaid
2092918OtherPK
2092918OtherPK