OrganizationActive
Old Main Pharmacy Inc
NPI 1013152099 · Pharmacy · Pembroke, NC
Old Main Pharmacy Inc is a Pharmacy organization in Pembroke, NC (NPI 1013152099).
Provider details
- NPI number
- 1013152099
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Justin Daniel, President/Owner(910) 521-5600
- License
- 11213 (NC)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
407 W 3rd St
Pembroke, NC 28372-7977
Phone: (910) 522-5500
Fax: (910) 844-3017
Street-level locationGet directions
Mailing address
Po Box 2639
Pembroke, NC 28372-2639
Other names (DBA / former)
- Doing business as
- Old Main Pharmacy
Registry dates
- Enumerated
- 2008-12-05
- Last updated
- 2017-02-20
Frequently asked questions
- What is Old Main Pharmacy Inc's NPI number?
- Old Main Pharmacy Inc's National Provider Identifier (NPI) is 1013152099, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Old Main Pharmacy Inc?
- Old Main Pharmacy Inc is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Old Main Pharmacy Inc located?
- Old Main Pharmacy Inc's practice location on file with NPPES is 407 W 3rd St, Pembroke, NC 28372-7977.
- What is Old Main Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Old Main Pharmacy Inc is (910) 522-5500.
- Who is the authorized official for Old Main Pharmacy Inc?
- The authorized official listed on Old Main Pharmacy Inc's NPPES record is Justin Daniel, President/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Old Main Pharmacy Inc's NPI active?
- Yes — Old Main Pharmacy Inc's NPI (1013152099) is active in the NPPES registry as of the last update on 2017-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.