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Doctors Park Pharmacy Inc

Community/Retail Pharmacy in Jacksonville, NC · enumerated 2006 · authorized official Kimberly Sullivan, Pharmacist and Mngr.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205901881

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Registry record

Entity type Organization (Type 2)
Legal business name Doctors Park Pharmacy Inc
Other name <Unavail>
Practice address 403 Western Blvd, Jacksonville, NC, 28546
Phone (910) 353-5733
Fax (910) 577-1705
Enumeration date Nov 21, 2006
Last updated in NPPES Nov 16, 2012

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 03726 (NC) Primary

Authorized official

Name Kimberly Sullivan
Title Pharmacist and Mngr
Phone (910) 353-5733

Other identifiers

Identifier Type State Issuer
7700938 Medicaid NC -
0675447 Medicaid NC -
3416472 Other - NCPDP PROVIDER IDENTIFICATION NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-11-16. Verify at npiregistry.cms.hhs.gov.
Where is Doctors Park Pharmacy Inc located?
The practice location on file with NPPES is in Jacksonville, NC.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-11-16.