Organization Active NPI

Scottie Drugs of Wallace Inc

Doing business as Scottie Drug Stores

  • Community/Retail Pharmacy
  • Wallace, NC
National Provider Identifier
1114016763
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SCOTTIE DRUGS OF WALLACE INC
Doing business as
Scottie Drug Stores
Practice address
114 NE Railroad St
Wallace, NC 28466-2921
Phone
(910) 285-4187
Fax
(910) 285-7824
NPI assigned
Oct 12, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
John Bennett, RPH
Title
Buisness MGR
Phone
(910) 285-4187

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 03611 NC
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

114 NE Railroad St
Wallace, NC 28466-2921

Mailing address

114 NE Railroad St
Wallace, NC 28466-2921

Other identifiers 2

IdentifierTypeStateIssuer
3411864OtherOTHER ID NUMBER-COMMERCIAL NUMBER
0315150MedicaidNC

Other names 1

  • SCOTTIE DRUG STORES Doing business as

National Provider Directory

National Provider Directory

Locations

114 N East Railroad St
Wallace, NC 28466
Phone (910) 285-4187

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1114016763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 NE RAILROAD ST",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "284662921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 NE RAILROAD ST",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "284662921",
            "telephone_number": "910-285-4187",
            "fax_number": "910-285-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTIE DRUGS OF WALLACE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "BUISNESS MGR",
        "authorized_official_telephone_number": "910-285-4187",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "03611",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3411864",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0315150",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCOTTIE DRUG STORES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wallace, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.