Koonce Drug Company, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KOONCE DRUG COMPANY, INC

Practice address

112 E 7TH Ave
Chadbourn, NC 28431-1402

Phone

(910) 654-4194

Fax

(910) 654-4438

NPI assigned

Aug 23, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Sterling G Koonce, RPHNPI 1841882552

Title

Owner

Phone

(910) 653-6805

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC4 enrollments

Enrollment records 4

Tax ID family

Tabor City Medicine Mart2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Koonce Drug Company, Inc

  • Long Term Care Pharmacy
  • Chadbourn, NC
  • NPI 1396462677
  NPD tax ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Medicine Mart LTC, LLC

  • Long Term Care Pharmacy
  • Tabor City, NC
  • NPI 1174639041

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sterling Grady Koonce, RPH

  • Pharmacist
  • Tabor City, NC
  • NPI 1841882552
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1003923673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E 7TH AVE",
            "city": "CHADBOURN",
            "state": "NC",
            "postal_code": "284311402",
            "telephone_number": "910-654-4194",
            "fax_number": "910-654-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E 7TH AVE",
            "city": "CHADBOURN",
            "state": "NC",
            "postal_code": "284311402",
            "telephone_number": "910-654-4194",
            "fax_number": "910-654-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOONCE DRUG COMPANY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "KOONCE",
        "authorized_official_first_name": "STERLING",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-653-6805",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0245035",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• JL Cribb and Associates Consulting Firm
• Pamela F Johnson, FNP
• Kysheanna Renee Jordan
• Kerr Drug Inc
• Klondyke-Chadbourn Volunteer Fire & Rescue Inc.
• Koonce Drug Company, Inc
• Kyle J Roth 5, DDS, PA
• Le' Chris Health Systems of Wilmington, Inc.
• Life Enhancement Services LLC
• Thomas Maloney, RPH

• Community/Retail Pharmacy in Chadbourn, NC
• Providers in Chadbourn, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.