Provider Demographics
NPI:1790823870
Name:HYERCARE, LLC
Entity Type:Organization
Organization Name:HYERCARE, LLC
Other - Org Name:KINGS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:DOW
Authorized Official - Last Name:HYER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:828-837-7474
Mailing Address - Street 1:30 PEACHTREE ST
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:NC
Mailing Address - Zip Code:28906-2940
Mailing Address - Country:US
Mailing Address - Phone:828-837-7474
Mailing Address - Fax:828-837-4622
Practice Address - Street 1:30 PEACHTREE ST
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906-2940
Practice Address - Country:US
Practice Address - Phone:828-837-7474
Practice Address - Fax:828-837-4622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
NC115953336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0205229Medicaid
NC7700864Medicaid
NC7700864Medicaid