{"npi":"1568761963","type":"NPI-2","status":"active","name":{"display":"Southeastern Regional Medical Center","other":[],"organization_name":"SOUTHEASTERN REGIONAL MEDICAL CENTER","authorised_official":"Jeffrey Edge"},"specialty":{"primary_taxonomy":"333600000X","primary_taxonomy_description":"Pharmacy","slug":"pharmacy","schema_org_specialty":null,"all":[{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":false,"state":null,"license":null},{"code":"3336C0004X","description":"Compounding Pharmacy","primary":false,"state":null,"license":null},{"code":"3336H0001X","description":"Home Infusion Therapy Pharmacy","primary":false,"state":null,"license":null},{"code":"3336L0003X","description":"Long Term Care Pharmacy","primary":false,"state":null,"license":null},{"code":"3336M0002X","description":"Mail Order Pharmacy","primary":false,"state":null,"license":null},{"code":"3336M0003X","description":"Managed Care Organization Pharmacy","primary":false,"state":null,"license":null},{"code":"3336N0007X","description":"Nuclear Pharmacy","primary":false,"state":null,"license":null},{"code":"3336S0011X","description":"Specialty Pharmacy","primary":false,"state":null,"license":null},{"code":"333600000X","description":"Pharmacy","primary":true,"state":"NC","license":"10389"}]},"addresses":[{"purpose":"LOCATION","street_1":"300 W 27TH ST","city":"LUMBERTON","state":"NC","postal_code":"283583075","country_code":"US","phone":"9107358806","fax":"9107358803"},{"purpose":"MAILING","street_1":"300 W 27TH ST.","city":"LUMBERTON","state":"NC","postal_code":"283583098","country_code":"US","phone":"9107358806","fax":"9107358803"}],"license":{"state":"NC","number":"10389"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20110908001761","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"NC","pac_id":"7315857141"},{"enrlmt_id":"O20140116000857","type_code":"12-73","type_desc":"PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)","state":"NC","pac_id":"7315857141"}]},"enumeration_date":"2011-03-24","last_updated":"2013-08-05","_meta":{"source":"NPPES","snapshot_date":"2013-08-05","doc_url":"https://findmynpi.com/api"}}