Bethel Pharmacy, LLC
NPI 1417720632ActiveOrganization· Pharmacy· Bethel, NC
Pharmacy in Bethel, North Carolina, registered in NPPES in October 2023. The authorized official on file is Carolyn Mayo, Manager. Medicare paid $1,174 for services to 11 patients in 2024.
Overview
| NPI | 1417720632 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 31, 2023 |
| Last updated in NPPES | Oct 31, 2023 |
| Certified by provider | Oct 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
| Pharmacy, Mail Order Pharmacy | 3336M0002X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (NC); Part B Supplier - Pharmacy (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 22 across 3 procedure codes |
| Paid by Medicare | $1,174 |