Provider Demographics
NPI:1659327146
Name:PHARM-SAVE, INC.
Entity Type:Organization
Organization Name:PHARM-SAVE, INC.
Other - Org Name:NEIL MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP PHARMACY SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:
Authorized Official - Last Name:BRICKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:BS, MBA
Authorized Official - Phone:800-735-9111
Mailing Address - Street 1:2545 JETPORT RD
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28504-7339
Mailing Address - Country:US
Mailing Address - Phone:800-735-9111
Mailing Address - Fax:800-362-0393
Practice Address - Street 1:2545 JETPORT RD
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28504-7339
Practice Address - Country:US
Practice Address - Phone:800-735-9111
Practice Address - Fax:800-362-0393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NC044283336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0545426Medicaid
KY54021811Medicaid
2070290OtherPK
VA8530904Medicaid