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MASSEY HILL DRUG CO.
NPI 1174650998
Pharmacy - Community/Retail Pharmacy in Fayetteville, NC

Active since February 28, 2007CLIA 34D2218952 · Waiver
1072 SOUTHERN AVE, FAYETTEVILLE, NC 28306(910) 484-0150(910) 484-3270 Get Directions Write a Review

NPPES record last updated: August 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Massey Hill Drug Co. NPPES

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

MASSEY HILL DRUG CO. (NPI 1174650998) is a healthcare organization registered as a community/retail pharmacy in Fayetteville, North Carolina and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through March 30, 2027 and lists Sridhar Gottipati, Pharmacist Owner, as its authorized official.

NPPES Registry Identity

NPI1174650998
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameNEW MASSEY HILL PHARMACY LLC
Location Address1072 SOUTHERN AVEFayetteville, NC 28306-1766
Mailing Address1072 Southern AveFayetteville, NC 28306-1766 · (910) 484-0150 · Fax (910) 484-3270
Phone(910) 484-0150
Fax(910) 484-3270
Organization SubpartNo
Authorized OfficialSridhar GottipatiPharmacist Owner · (910) 484-0159
Enumeration DateFebruary 28, 2007
Last NPPES UpdateAugust 26, 2016
✔ NPI 1174650998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NC · 10320
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
1072 SOUTHERN AVE, Fayetteville, NC 28306
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Other Names 1

Doing Business AsMassey Hill Drug Co.

Other Identifiers 3

Medicaid0267534NC
Medicare NSC6379660001NC
Other3406091Ncpdp Provider Identification Number

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2218952

New Massey Hill Pharmacy, LLC · Fayetteville, NC
Active · expires Mar 30, 2027
CLIA Number34D2218952
Laboratory TypePharmacy
Certificate Effective DateMarch 31, 2025
Certificate Expiration DateMarch 30, 2027
Laboratory DirectorSridhar Gottipati
Laboratory Phone(910) 484-0159
Laboratory LocationNew Massey Hill Pharmacy, LLC1072 Southern Ave, Fayetteville, NC 28306
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

VENKATA GANGADHAR BODDULURI
Pharmacist
1072 SOUTHERN AVE
FAYETTEVILLE, NC 28306
Cumberland County (910) 484-0159
NAGAKISHORE BABU EDUPUGANTI R.PH
Pharmacist
1072 SOUTHERN AVE
FAYETTEVILLE, NC 28306
Cumberland County (910) 484-0159
MASSEY HILL PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
1072 SOUTHERN AVE
FAYETTEVILLE, NC 28306
Cumberland County (910) 484-0159

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 New Massey Hill Pharmacy LLC's NPI number?

The NPI number for New Massey Hill Pharmacy LLC is 1174650998. It was assigned to this organization in the NPPES registry on February 28, 2007. The provider is doing business as Massey Hill Drug Co..

Where is New Massey Hill Pharmacy LLC located?

New Massey Hill Pharmacy LLC is located at 1072 Southern Ave, Fayetteville, NC 28306. The listed phone number is (910) 484-0150.

What is New Massey Hill Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does New Massey Hill Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2218952) is associated with this NPI, valid through March 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does New Massey Hill Pharmacy 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 48 other insurers list New Massey Hill Pharmacy 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 New Massey Hill Pharmacy LLC was last updated on August 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.