Active NPI
Scottie Drugs of Wallace Inc
Doing business as Scottie Drug Stores
- Community/Retail Pharmacy
- Wallace, NC
National Provider Identifier
1114016763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3411864 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 0315150 | Medicaid | NC |
Other names 1
- SCOTTIE DRUG STORES
National Provider Directory
National Provider DirectoryLocations
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
- Donna Roberts Rice, RPH
- J Daniel Robinson III, OD
- Carrie Kyper Royer, PA-C
- Victor Jones Russell, LCAS, CSAC
- RX Medeq LLC
- Haley Shand
- Axon Darren Sholar, DDS
- Claudia Compton Smith, N.P.
- SSC Wallace Operating Company LLC (Brian Center Health & Rehabilitation - Wallace)
- Take Care of You Counseling Services, PLLC
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.