TABOR CITY MEDICINE MART
NPI 1912013889
Pharmacy - Community/Retail Pharmacy in Tabor City, NC

Active since August 22, 2006
220 S MAIN ST, TABOR CITY, NC 28463(910) 653-4800(910) 653-4915 Get Directions Write a Review

NPPES record last updated: July 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tabor City Medicine Mart NPPES

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

TABOR CITY MEDICINE MART (NPI 1912013889) is a healthcare organization registered as a community/retail pharmacy in Tabor City, North Carolina and active in the NPI registry since August 2006. The organization lists Sterling G Koonce, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1912013889
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameTABOR CITY MEDICINE MART, INC
Location Address220 S MAIN STTabor City, NC 28463-1904
Mailing AddressPo Box 580Tabor City, NC 28463-0580 · (910) 653-4800 · Fax (910) 653-4915
Fax(910) 653-4915
Organization SubpartNo
Authorized OfficialSterling G KoonceOwner/president · (910) 653-6805
Enumeration DateAugust 22, 2006
Last NPPES UpdateJuly 29, 2020
NPPES CertifiedJuly 29, 2020
NPI 1912013889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
220 S MAIN ST, Tabor City, NC 28463

Other Names 1

Doing Business AsTabor City Medicine Mart

Other Identifiers 1

Medicaid0245696NC

Accepted Insurance

Areas of Expertise CMS Part B claims

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.
13 services13 patients

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Tabor City Medicine Mart carries, from the Medicare DMEPOS supplier directory.

Tabor City Medicine Mart

DMEPOS supplier · Tabor City, NCOperated by Tabor City Medicine Mart, Inc

Accepts Medicare assignment

Tabor City Medicine Mart agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20418797
Medicare Participant SinceDecember 15, 2019
Supplier Location220 S. Main StreetTabor City, NC 28463
Supplier Specialties
Certified Other Pharmacy

Medicare Product Categories

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
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 2

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

Pharmacy (Long Term Care Pharmacy)
220 S MAIN ST
TABOR CITY, NC 28463
Pharmacist
220 S MAIN ST
TABOR CITY, NC 28463

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 Tabor City Medicine Mart, Inc's NPI number?

The NPI number for Tabor City Medicine Mart, Inc is 1912013889. It was assigned to this organization in the NPPES registry on August 22, 2006. The provider is doing business as Tabor City Medicine Mart.

Where is Tabor City Medicine Mart, Inc located?

Tabor City Medicine Mart, Inc is located at 220 S Main St, Tabor City, NC 28463. The listed phone number is (910) 653-4800.

What is Tabor City Medicine Mart, Inc's specialty?

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

Does Tabor City Medicine Mart, Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Tabor City Medicine Mart accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Tabor City Medicine Mart, Inc 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 Tabor City Medicine Mart, Inc 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 Tabor City Medicine Mart, Inc was last updated on July 29, 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.