NPIMap

Organization Active NPI

Mast Drug Co Inc

  • Long Term Care Pharmacy
  • Henderson, NC
National Provider Identifier
1093476277
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MAST DRUG CO INC
Practice address
418 Dabney Dr
Henderson, NC 27536-3944
Phone
(252) 438-4158
Fax
(252) 438-7183
NPI assigned
Jan 10, 2022
Organization subpart
Yes
Parent organization
MAST DRUG CO INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Authorized official

Name
Richard I Flye Jr.
Title
President
Phone
(252) 438-3112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

418 Dabney Dr
Henderson, NC 27536-3944

Mailing address

805 S Garnett St
Henderson, NC 27536
Phone (252) 438-3112

Other names 1

  • Mast Family Drug LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mast Drug Co Inc12 organizations share this tax ID, including this one
Part of
Mast Drug Co Inc

Other organizations with this tax ID 11

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

Locations

418 Dabney Dr
Henderson, NC 27536
Phone (252) 438-4158

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1093476277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 S GARNETT ST",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "27536",
            "telephone_number": "252-438-3112",
            "fax_number": "252-492-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 DABNEY DR",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275363944",
            "telephone_number": "252-438-4158",
            "fax_number": "252-438-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAST DRUG CO INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAST DRUG CO INC",
        "enumeration_date": "2022-01-10",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "FLYE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-438-3112",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mast Family Drug LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.