NPIMap

Organization Active NPI

Blount'S Mutual Drugs, Inc.

  • Pharmacist
  • Edenton, NC
National Provider Identifier
1104129998
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
01464 Issued in NC
Legal business name
BLOUNT'S MUTUAL DRUGS, INC.
Practice address
323 S Broad St
Edenton, NC 27932-1933
Phone
(252) 482-2127
Fax
(252) 482-5218
NPI assigned
Dec 16, 2010
Organization subpart
Yes
Parent organization
BLOUNT'S MUTUAL DRUGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Authorized official

Name
Mr. James Gordon Blount Sr., RPHNPI 1942376264
Title
Pharmacist Manager
Phone
(252) 482-2127

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 01464 NC Primary

Addresses

Primary practice location

323 S Broad St
Edenton, NC 27932-1933

Mailing address

323 S Broad St
PO Box 209
Edenton, NC 27932-1933
Phone (252) 482-2127

Other identifiers 1

IdentifierTypeStateIssuer
7336390MedicaidNC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Blounts Mutual Drugs Inc323 S Broad St, Edenton, NC 27932-1933(252) 482-2127 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Ostomy Supplies|Urological Supplies|Nebulizer Equipment and/or Supplies Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Blount'S Mutual Drugs Inc2 organizations share this tax ID, including this one
Part of
Blount'S Mutual Drugs Inc

Other organizations with this tax ID 1

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

Locations

323 S Broad St
Edenton, NC 27932
Phone (252) 482-2127

Practitioners & affiliated clinicians

Practitioners 2

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": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1104129998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 S BROAD ST",
            "address_2": "PO BOX 209",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279321933",
            "telephone_number": "252-482-2127",
            "fax_number": "252-482-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 S BROAD ST",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279321933",
            "telephone_number": "252-482-2127",
            "fax_number": "252-482-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOUNT'S MUTUAL DRUGS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLOUNT'S MUTUAL DRUGS, INC.",
        "enumeration_date": "2010-12-16",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "BLOUNT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "PHARMACIST MANAGER",
        "authorized_official_telephone_number": "252-482-2127",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "01464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7336390",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edenton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.