Active NPI
Eden Drug, Inc.
- Long Term Care Pharmacy
- Eden, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- EDEN DRUG, INC.
- Practice address
- 103 W Stadium Dr
Eden, NC 27288-3329 - Phone
- (336) 627-4854
- NPI assigned
- Mar 18, 2020
- Last updated
- Apr 15, 2020
- 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 Crouch
- Title
- Pharmacist
- Phone
- (336) 627-4854
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
103 W Stadium Dr
Eden, NC 27288-3329
Mailing address
103 W Stadium Dr
Eden, NC 27288-3329
Phone (336) 627-4854
National Provider Directory
National Provider Directory- Tax ID family
- Eden Drug Health Mart
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
103 W Stadium Dr
Eden, NC 27288
Phone (336) 627-4854
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthotic Fitter
- Eden, NC
- NPI 1780858126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586908800000",
"number": "1053947366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 W STADIUM DR",
"city": "EDEN",
"state": "NC",
"postal_code": "272883329",
"telephone_number": "336-627-4854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 W STADIUM DR",
"city": "EDEN",
"state": "NC",
"postal_code": "272883329",
"telephone_number": "336-627-4854"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDEN DRUG, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-18",
"last_updated": "2020-04-15",
"certification_date": "2020-04-15",
"status": "A",
"authorized_official_last_name": "CROUCH",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "336-627-4854"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eden, NC
- Toni Mae Dunovant, PTA
- Javone Eaves, MBA, MS, LCMHCA, NCC
- Eckerd Corporation (Rite Aid Pharmacy 11339)
- Eden Chiropractic
- Eden Drug Inc (Eden Drug Health Mart)
- Eden Drug, Inc. (Eden Drug Health Mart)
- Eden Health & Wellness Center
- Eden Internal Medicine PLLC
- Eden Internal Medicine PLLC
- Eden Opco LLC (Eden Rehabilitation and Healthcare Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.