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PEMBROKE DRUG HOLDINGS, LLC
NPI 1588115463
Pharmacy - Community/Retail Pharmacy in Pembroke, NC

Active since October 17, 2016CLIA 34D2212006 · Waiver
205 W 3RD ST, PEMBROKE, NC 28372(910) 775-9209(910) 775-9124 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2025, Jun 7, 2023, Jul 19, 2018 and 5 more (8 updates tracked since 2016).

About Pembroke Drug Holdings, Llc NPPES

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

PEMBROKE DRUG HOLDINGS, LLC (NPI 1588115463), doing business as Pembroke Drug, is a healthcare organization registered as a community/retail pharmacy in Pembroke, North Carolina and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through February 1, 2027 and lists James Deese, Member, as its authorized official.

NPPES Registry Identity

NPI1588115463
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePEMBROKE DRUG HOLDINGS, LLC
Location Address205 W 3RD STPembroke, NC 28372-8768
Mailing Address205 W 3rd StPembroke, NC 28372-8768 · (910) 734-4896 · Fax (910) 775-9124
Phone(910) 775-9209
Fax(910) 775-9124
Organization SubpartNo
Authorized OfficialJames DeeseMember · (910) 734-4896
Enumeration DateOctober 17, 2016
Last NPPES UpdateSeptember 19, 20258 updates tracked since enumeration
NPPES CertifiedJune 7, 2023
✔ NPI 1588115463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NC · 13076
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.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
205 W 3RD ST, Pembroke, NC 28372
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Other Names 1

Doing Business AsPembroke Drug

Other Identifiers 2

Medicaid1588115463NC
Other2165767Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc. 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 34D2212006

Pembroke Drug Holdings, LLC Dba Pembroke Drug · Pembroke, NC
Active · expires Feb 1, 2027
CLIA Number34D2212006
Laboratory TypePharmacy
Certificate Effective DateFebruary 2, 2025
Certificate Expiration DateFebruary 1, 2027
Laboratory DirectorKatie J. Marlowe
Laboratory Phone(910) 775-9209
Laboratory LocationPembroke Drug Holdings, LLC Dba Pembroke Drug205 W 3rd Street, Pembroke, NC 28372
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.

MRS. KATARA S CHAVIS FNP-C
Nurse Practitioner (Family)
205 W 3RD ST
PEMBROKE, NC 28372
Robeson County (910) 521-0099
COASTAL SOUTHEASTERN FAMILY PRACTICE, PLLC
Nurse Practitioner (Family)
205 W 3RD ST
PEMBROKE, NC 28372
Robeson County (910) 521-0099
PEMBROKE DRUG HOLDINGS, LLC
Pharmacy (Long Term Care Pharmacy)
205 W 3RD ST
PEMBROKE, NC 28372
Robeson County (910) 775-9209

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 Pembroke Drug Holdings, LLC's NPI number?

The NPI number for Pembroke Drug Holdings, LLC is 1588115463. It was assigned to this organization in the NPPES registry on October 17, 2016. The provider is doing business as Pembroke Drug.

Where is Pembroke Drug Holdings, LLC located?

Pembroke Drug Holdings, LLC is located at 205 W 3rd St, Pembroke, NC 28372. The listed phone number is (910) 775-9209.

What is Pembroke Drug Holdings, LLC's specialty?

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

Does Pembroke Drug Holdings, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2212006) is associated with this NPI, valid through February 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pembroke Drug Holdings, LLC accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and Avera Health Plans and 26 other insurers list Pembroke Drug Holdings, 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 Pembroke Drug Holdings, LLC was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.