Active NPI
Bynums Drug Store Inc
- Community/Retail Pharmacy
- New Bern, NC
National Provider Identifier
1043369028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 02484
- Legal business name
- BYNUMS DRUG STORE INC
- Practice address
- 240 Middle St
New Bern, NC 28560 - Phone
- (252) 637-3123
- Fax
- (252) 637-9866
- NPI assigned
- Jan 9, 2007
- 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 Dennis Bridgers, RPH
- Title
- Owner
- Phone
- (252) 633-9689
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 02484 | NC | Primary |
Addresses
Primary practice location
240 Middle St
New Bern, NC 28560
Mailing address
240 Middle St
New Bern, NC 28560
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0255059 | Medicaid | NC | |
| 34093326 | Other | NABP |
National Provider Directory
National Provider DirectoryLocations
240 Middle St
New Bern, NC 28560
Phone (252) 637-3123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1043369028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 MIDDLE ST",
"city": "NEW BERN",
"state": "NC",
"postal_code": "28560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 MIDDLE ST",
"city": "NEW BERN",
"state": "NC",
"postal_code": "28560",
"telephone_number": "252-637-3123",
"fax_number": "252-637-9866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BYNUMS DRUG STORE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BRIDGERS",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "DENNIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "252-633-9689",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NC",
"license": "02484",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0255059",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "34093326",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.