Southeastern Regional Medical Center
NPI 1568761963ActiveOrganization· Pharmacy· Lumberton, NC
Pharmacy in Lumberton, North Carolina, registered in NPPES in March 2011. The authorized official on file is Jeffrey Lee Edge, PHARM. D., Pharmacy Supervisor. Enrolled in Medicare as dme supplier - pharmacy and part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1568761963 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 24, 2011 |
| Last updated in NPPES | Jun 22, 2026 |
| Certified by provider | Jun 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 10389 | NC |
| Pharmacy, Clinic Pharmacy | 3336C0002X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
| Pharmacy, Specialty Pharmacy | 3336S0011X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (NC); Part B Supplier - Mass Immunization (Roster Biller Only) (NC) |
|---|
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