NPIMap

Organization Active NPI

Mast Drug Co., Inc

Doing business as Mast Specialty Pharmacy

  • Specialty Pharmacy
  • Henderson, NC
National Provider Identifier
1013251628
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
01735 Issued in NC
Legal business name
MAST DRUG CO., INC
Doing business as
Mast Specialty Pharmacy
Practice address
501 S Chestnut St
Henderson, NC 27536-4102
Phone
(888) 294-4955
Fax
(252) 438-7183
NPI assigned
Nov 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Authorized official

Name
Polly D. Beal
Title
Adm. MGR
Phone
(252) 438-3112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X 01735 NC Primary

Addresses

Primary practice location

501 S Chestnut St
Henderson, NC 27536-4102

Mailing address

1910 Ross Mill Rd
Henderson, NC 27537-8789
Phone (252) 438-3112

Other names 1

  • Mast Specialty Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mast Drug Co Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

501 S Chestnut St
Henderson, NC 27536
Phone (252) 438-4158

NPI Registry JSON

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1013251628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 ROSS MILL RD",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275378789",
            "telephone_number": "252-438-3112",
            "fax_number": "252-492-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S CHESTNUT ST",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364102",
            "telephone_number": "888-294-4955",
            "fax_number": "252-438-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAST DRUG CO., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "BEAL",
        "authorized_official_first_name": "POLLY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ADM. MGR",
        "authorized_official_telephone_number": "252-438-3112"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NC",
            "license": "01735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mast Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.