Provider Demographics
NPI:1962823039
Name:DEMPSEY'S LONG TERM CARE, LLC
Entity Type:Organization
Organization Name:DEMPSEY'S LONG TERM CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHELBA
Authorized Official - Middle Name:G
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-208-0180
Mailing Address - Street 1:701 DOCTORS DR
Mailing Address - Street 2:SUITE P-2
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28501-1589
Mailing Address - Country:US
Mailing Address - Phone:252-208-0180
Mailing Address - Fax:252-686-5055
Practice Address - Street 1:2717 HWY 11 55 STE C
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28504-4607
Practice Address - Country:US
Practice Address - Phone:252-208-0180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KINSTON CLINIC PHARMACY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-12-17
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC117683336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy