ROCKY MOUNT MEDICAL PARK PHARMACY
NPI 1578830105
Pharmacy - Community/Retail Pharmacy in Rocky Mount, NC

Q: What is Rocky Mount Medical Park Pharmacy, Inc's specialty?

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

Active since November 28, 2011CLIA 34D2334540 · Waiver

901 N WINSTEAD AVE, SUITE 100, ROCKY MOUNT, NC 27804(252) 443-7979(252) 443-7419 Get Directions Write a Review

NPPES record last updated: November 28, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Rocky Mount Medical Park Pharmacy NPPES

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

ROCKY MOUNT MEDICAL PARK PHARMACY (NPI 1578830105) is a healthcare organization registered as a community/retail pharmacy in Rocky Mount, North Carolina and active in the NPI registry since November 2011. The organization holds a CLIA Waiver certificate valid through November 23, 2027 and lists Randy Gordon Crawford, President, as its authorized official.

NPPES Registry Identity

NPI1578830105

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameROCKY MOUNT MEDICAL PARK PHARMACY, INC

Location Address901 N WINSTEAD AVE, SUITE 100Rocky Mount, NC 27804-8467

Mailing Address901 N Winstead Ave, Suite 100Rocky Mount, NC 27804-8467 · (252) 443-7979 · Fax (252) 443-7419

Phone(252) 443-7979

Fax(252) 443-7419

Organization SubpartNo

Authorized OfficialRandy Gordon CrawfordPresident · (252) 443-7979

Enumeration DateNovember 28, 2011

✔ NPI 1578830105 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 · 5339

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.

901 N WINSTEAD AVE, Rocky Mount, NC 27804

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Other Names 1

Doing Business AsRocky Mount Medical Park Pharmacy

Other Identifiers 3

Other3428035NC · Ncpdp

Medicaid00335398NC

Medicare NSC0251170001NC

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 34D2334540

Rocky Mount Medical Park Pharmacy · Rocky Mount, NC

Active · expires Nov 23, 2027

CLIA Number34D2334540

Laboratory TypePharmacy

Certificate Effective DateNovember 24, 2025

Certificate Expiration DateNovember 23, 2027

Laboratory DirectorThomas V. Mcdowell

Laboratory Phone(252) 443-7979

Laboratory LocationRocky Mount Medical Park Pharmacy901 N Winstead Ave Suite #100, Rocky Mount, NC 27804

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 20

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

MARY LINDA HAWES MD

Internal Medicine (Nephrology)