Organization
BSE, INC
Active
Other names
The Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ANTHONY HESTER M.D. (PRESIDENT)
(910) 863-3949
Entity
Organization
Contact information
Practice address
102 SOUTH MAIN ST, BLADENBORO, NC 28320-0508
(910) 863-3949
(910) 863-3940
Mailing address
PO BOX 508, BLADENBORO, NC 28320-0508
(910) 863-3949
(910) 863-3940
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
04410
NC
332B00000X
Durable Medical Equipment & Medical Supplies
04410
NC
3336C0003X
Community/Retail Pharmacy
Primary
04410
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095166
—
NC
01
—
0388B
BC BS PROVIDER NUMBER
NC
01
—
3416282
NCPDP #
NC
05
—
7703225
—
NC
Enumeration date
12/13/2005
Last updated
03/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up