SOUTHERN PHARMACY SERVICES
NPI 1063505774
Pharmacy - Long Term Care Pharmacy in Pink Hill, NC

NPI Status: Active since October 02, 2006

Contact Information

4459 TARHEEL DRIVE
PINK HILL, NC
ZIP 28572
Phone: (252) 568-9945

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  • Organization
  • Pharmacy
  • Long Term Care Pharmacy
  • Medicare Supplier
  • Does Not Accept Medicare Approved Payment

About SOUTHERN PHARMACY SERVICES

This page provides the complete NPI Profile along with additional information for Southern Pharmacy Services, a provider established in Pink Hill, North Carolina operating as a Pharmacy, focusing in long term care pharmacy . The healthcare provider is registered in the NPI registry with number 1063505774 assigned on October 2006. The practitioner's primary taxonomy code is 3336L0003X with license number 09308 (NC). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Southern Pharmacy Services. The authorized official of this NPI record is Dr. Chad Terry Pharmd (Manager)

NPI
1063505774
Provider Legal Name
RICETTA RX NORTH CAROLINA LLC
Other Organization Name
SOUTHERN PHARMACY SERVICES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4459 TARHEEL DRIVE PINK HILL, NC 28572
Location Phone
(252) 568-9945
Mailing Address
4459 TARHEEL DRIVE PINK HILL, NC 28572
Mailing Phone
(252) 568-9945
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-02-2006
Last Update Date
03-07-2023
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Southern Pharmacy Services is a medicare supplier with PTAN 20520203 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order) or Blood Glucose Monitors/Supplies (Mail Order).

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Long Term Care Pharmacy

Taxonomy Code
3336L0003X
Type
Suppliers
License No.
09308
License State
NC
Taxonomy Description
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. CHAD TERRY PHARMD

Authorized Official Title
MANAGER
Authorized Official Phone
(252) 568-9945

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0545624MEDICAID (05)NC 
3440891OTHER (01)NABP

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20520203
Accepts Medicare Assignment
NO
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Infusion Drugs -
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063505774, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 5 → 10 → 1 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 1 + 0 + 0 + 1 + 0 + 7 + 1 + 4 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1063505774.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies
4459 TARHEEL DRIVE, SUITE D
PINK HILL, NC 28572

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063505774, enumerated as an "organization" on October 02, 2006.

The provider is located at 4459 TARHEEL DRIVE PINK HILL, NC 28572 and the phone number is (252) 568-9945.

Pharmacy with taxonomy code 3336L0003X and a focus in Long Term Care Pharmacy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.