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MEDICINE MART LTC, LLC
NPI 1174639041
Pharmacy - Long Term Care Pharmacy in Tabor City, NC

Active since August 22, 2006
214 S MAIN ST, TABOR CITY, NC 28463(910) 653-6804(910) 653-4915 Get Directions Write a Review

NPPES record last updated: July 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medicine Mart Ltc, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICINE MART LTC, LLC (NPI 1174639041) is a healthcare organization registered as a long term care pharmacy in Tabor City, North Carolina and active in the NPI registry since August 2006. The organization lists Sterling G Koonce, Managing Agent, as its authorized official.

NPPES Registry Identity

NPI1174639041
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameMEDICINE MART LTC, LLC
Location Address214 S MAIN STTabor City, NC 28463-1904
Mailing AddressPo Box 550Tabor City, NC 28463-0550 · (910) 653-6804 · Fax (910) 653-4915
Phone(910) 653-6804
Fax(910) 653-4915
Organization SubpartNo
Authorized OfficialSterling G KoonceManaging Agent · (910) 653-6805
Enumeration DateAugust 22, 2006
Last NPPES UpdateJuly 30, 2020
NPPES CertifiedJuly 30, 2020
✔ NPI 1174639041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in NC · 084535
Definition
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.
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X · License 08435 (NC)
214 S MAIN ST, Tabor City, NC 28463
Open in Google Maps ↗

Other Identifiers 1

Medicaid0245845NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
178 services178 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
125 services125 patients

Medical Equipment Supplier Medicare DMEPOS 4

Medicare supplier enrollment and the product categories Medicine Mart Ltc, LLC carries, from the Medicare DMEPOS supplier directory.

Medicine Mart Ltc, LLC

DMEPOS supplier · Tabor City, NC
⋮

Does not accept Medicare assignment

Medicine Mart Ltc, LLC has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20414405
Medicare Participant SinceApril 22, 2020
Supplier Location214 S Main StTabor City, NC 28463
Phone(910) 653-6804
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
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
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLINE KOONCE RPH
Pharmacist
214 S MAIN ST
TABOR CITY, NC 28463
Columbus County (910) 641-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medicine Mart Ltc, LLC's NPI number?

The NPI number for Medicine Mart Ltc, LLC is 1174639041. It was assigned to this organization in the NPPES registry on August 22, 2006.

Where is Medicine Mart Ltc, LLC located?

Medicine Mart Ltc, LLC is located at 214 S Main St, Tabor City, NC 28463. The listed phone number is (910) 653-6804.

What is Medicine Mart Ltc, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Medicine Mart Ltc, LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Medicine Mart Ltc, LLC does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Medicine Mart Ltc, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 45 other insurers list Medicine Mart Ltc, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Medicine Mart Ltc, LLC was last updated on July 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.