Active NPI
Realo Discount Drug Store
- Community/Retail Pharmacy
- Kinston, NC
National Provider Identifier
1003821604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- REALO DISCOUNT DRUG STORE
- Practice address
- 1302 W Vernon Ave
Kinston, NC 28504-3528 - Phone
- (252) 523-6069
- Fax
- (252) 523-3497
- NPI assigned
- Jul 30, 2006
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Bizzell
- Title
- Owner
- Phone
- (252) 527-6929
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 07673 | NC | |
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
1302 W Vernon Ave
Kinston, NC 28504-3528
Mailing address
1302 W Vernon Ave
Kinston, NC 28504-3528
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0545574 | Medicaid | NC | |
| 3438339 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
National Provider Directory
National Provider Directory- Tax ID family
- Realo Discount Drug Store
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Snow Hill, NC
- NPI 1841378353
Locations
1302 W Vernon Ave
Kinston, NC 28504
Phone (252) 253-6069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1003821604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 W VERNON AVE",
"city": "KINSTON",
"state": "NC",
"postal_code": "285043528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 W VERNON AVE",
"city": "KINSTON",
"state": "NC",
"postal_code": "285043528",
"telephone_number": "252-523-6069",
"fax_number": "252-523-3497"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REALO DISCOUNT DRUG STORE",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-30",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "BIZZELL",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "252-527-6929"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NC",
"license": "07673",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0545574",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "3438339",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kinston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.