Provider Demographics
NPI:1629180633
Name:DOWNING PHARMACY GROUP INC
Entity Type:Organization
Organization Name:DOWNING PHARMACY GROUP INC
Other - Org Name:CAPE FEAR PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:DOWNING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-798-0900
Mailing Address - Street 1:5235 S COLLEGE RD
Mailing Address - Street 2:MONKEY JUNCTION
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28412-2209
Mailing Address - Country:US
Mailing Address - Phone:910-798-0900
Mailing Address - Fax:910-798-0313
Practice Address - Street 1:5235 S COLLEGE RD
Practice Address - Street 2:MONKEY JUNCTION
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28412-2209
Practice Address - Country:US
Practice Address - Phone:910-798-0900
Practice Address - Fax:910-798-0313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336L0003X
NC129273336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2158338OtherPK
NC1629180633Medicaid
NCBM7510642OtherDEA #
NC0656132Medicaid
NC2801140Medicare PIN
NC4329340001Medicare NSC