Northwestern Drug Co Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

NORTHWESTERN DRUG CO INC

Doing business as

Peoples Drug Store

Practice address

255 NC Hwy 16 S
Taylorsville, NC 28681-3048

Phone

(828) 632-2271

Fax

(828) 632-2220

NPI assigned

Jul 27, 2006

Last updated

Aug 16, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

NORTHWESTERN DRUG COAs reported in NPPES

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

Authorized official

Name

Mr. Phil F Icard, REGISTERD PHARMACIST

Title

Pharmacist Owner

Phone

(828) 632-2271

Specialties & licenses 7

Addresses

Other identifiers 3

Other names 1

• Peoples Drug Store Doing business as

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Northwestern Drug Co Inc

  dba Town and Country Drugs

  • Community/Retail Pharmacy
  • Taylorsville, NC
  • NPI 1598700718

  1456471937

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Northwestern Drug Co Inc

  dba Town and Country Drugs

  • Community/Retail Pharmacy
  • Taylorsville, NC
  • NPI 1598700718

  O20111115000884

  Same enrollment

Tax ID family

Northwestern Drug Company Inc3 organizations share this tax ID, including this one

Part of

Northwestern Drug Company Inc

Other organizations with this tax ID 2

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

• Northwestern Drug Company Inc

  dba Peoples Drug Store

  • Community/Retail Pharmacy
  • Taylorsville, NC
  • NPI 1144499039
  NPD tax ID
• Northwestern Drug Company Inc

  dba Peoples Drug Store

  • Long Term Care Pharmacy
  • Taylorsville, NC
  • NPI 1184414435
  NPD tax ID

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1073537494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 NC HWY 16 S",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286813048",
            "telephone_number": "828-632-2271",
            "fax_number": "828-632-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 NC HWY 16 S",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286813048",
            "telephone_number": "828-632-2271",
            "fax_number": "828-632-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN DRUG CO INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWESTERN DRUG CO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "ICARD",
        "authorized_official_first_name": "PHIL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "828-632-2271",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "REGISTERD PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0025015",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7702694",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3413565",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peoples Drug Store",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Peoples Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Leigh Nance, CLD, CLE, CCBE
• Amber Lynett Neill-Swaney, LCMHC-A
• New River Service Authority (New River Behavioral HealthCare)
• Megan Gantt Nicholas, PHARMD
• Northland Hearing Center, Inc. (Best Value Hearing Care Center)
• Northwestern Drug Co Inc (Town and Country Drugs)
• Northwestern Drug Company Inc (Peoples Drug Store)
• Northwestern Drug Company Inc (Peoples Drug Store)
• Novant Medical Group, Inc (Novant Health Neurology)
• Office Practice of Pharmacy LLC

• Community/Retail Pharmacy in Taylorsville, NC
• Providers in Taylorsville, 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 Aug 16, 2023; 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.