Mountain Street Pharmacy Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

7003 Issued in NC

Legal business name

MOUNTAIN STREET PHARMACY INC

Practice address

709 W Mountain St
Kings Mountain, NC 28086-2711

Phone

(704) 739-7225

Fax

(704) 739-7288

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Allan M Propst, R.PHNPI 1417177619

Title

Pharmacist

Phone

(704) 739-7225

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Allan Marion Propst, PHARMACIST

  • Pharmacist
  • Kings Mountain, NC
  • NPI 1417177619
  NPD (past) Authorized official
• Laura Propst Boyd, PHARMD

  • Pharmacist
  • Kings Mountain, NC
  • NPI 1316530264
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1063538825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 W MOUNTAIN ST",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280862711",
            "telephone_number": "704-739-7225",
            "fax_number": "704-739-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 W MOUNTAIN ST",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280862711",
            "telephone_number": "704-739-7225",
            "fax_number": "704-739-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN STREET PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "PROPST",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "704-739-7225",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "7003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0235812",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3434898",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roger K Miller, D.D.S. PA
• Mind on My Mental, P.L.L.C
• Angel Minerva, RN
• Hazel Freida Mitchell
• Luisa Fernanda Morales, LCSWA
• Mountain Street Pharmacy Inc
• Carleigh Whitaker Newell, PA
• Steven Julian Newton, MD
• NHC Healthcare/Kings Mountain, LLC
• Elisha Ukonna Nnaji

• Durable Medical Equipment & Medical Supplies in Kings Mountain, NC
• Providers in Kings Mountain, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.