Organization Active NPI

Southern Discount Drug, Inc.

Doing business as Family Discount Drug

  • Community/Retail Pharmacy
  • Goldsboro, NC
National Provider Identifier
1083834949
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
9527 Issued in NC
Legal business name
SOUTHERN DISCOUNT DRUG, INC.
Doing business as
Family Discount Drug
Practice address
1805 Wayne Memorial Dr
Goldsboro, NC 27534-2241
Phone
(919) 734-6672
Fax
(919) 734-6734
NPI assigned
Apr 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jonathan Dairl Reece, RPH
Title
President
Phone
(919) 734-6672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 9527 NC Primary

Addresses

Primary practice location

1805 Wayne Memorial Dr
Goldsboro, NC 27534-2241

Mailing address

1805 Wayne Memorial Dr
Goldsboro, NC 27534-2241
Phone (919) 734-6672

Other identifiers 1

IdentifierTypeStateIssuer
3408324OtherNCNCPDP NUMBER

Other names 1

  • Family Discount Drug Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Discount Drug2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083834949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 WAYNE MEMORIAL DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342241",
            "telephone_number": "919-734-6672",
            "fax_number": "919-734-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 WAYNE MEMORIAL DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342241",
            "telephone_number": "919-734-6672",
            "fax_number": "919-734-6734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN DISCOUNT DRUG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REECE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "DAIRL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-734-6672",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "9527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "3408324",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Discount Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goldsboro, 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.

Verify at the official NPI Registry.