Old Main Pharmacy Inc
Pharmacy
407 W 3rd St, Pembroke
North Carolina, 28372-7977
910-522-5500 910-844-3017
Old Main Pharmacy Inc is a Pharmacy in Pembroke, North Carolina. It is located at 407 W 3rd St, Pembroke and it's customer support contact number is 910-522-5500. The authorized person of Old Main Pharmacy Inc is Justin Daniel who is President/owner of the pharmacy and his contact number is 910-521-5600. Active license number of Old Main Pharmacy Inc is 11213 for Pharmacy in North Carolina. Old Main Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Old Main Pharmacy Inc is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Old Main Pharmacy Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Old Main Pharmacy Inc |
| Type: | Pharmacy |
| Location: | 407 W 3rd St, Pembroke,
North Carolina, 28372-7977 |
| Phone: | 910-522-5500 |
| Fax: | 910-844-3017 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Justin Daniel |
| Position: | President/owner |
| Contact Number: | 910-521-5600 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1013152099 |
| NPI Enumeration Date: | 05 Dec, 2008 |
| NPI Last Update On: | 20 Feb, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Old Main Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | 11213 | North Carolina | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2143626 | Other | | Pk |
Medicare Enrollment:
Old Main Pharmacy Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 2163602475 | O20110203000501 | Old Main Pharmacy Inc | DME SUPPLIER - PHARMACY |
| 2163602475 | O20140910002359 | Old Main Pharmacy Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Old Main Pharmacy Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Diabetic Shoes & Inserts: Prefabricated |
| • Nebulizer Equipment & Supplies | • Walkers |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 2639,
Pembroke, North Carolina |
| Zip: | 28372-2639 |
| Phone Number: | 910-521-5600 |
| Fax Number: | 910-521-1906 |
Patients can reach Old Main Pharmacy Inc at
407 W 3rd St, Pembroke, North Carolina or can
call on customer care at 910-522-5500.
Comments/ Reviews:
Read all the reviews posted for Old Main Pharmacy Inc below. You may also share your own experience with Old Main Pharmacy Inc. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.