Gene Anderson Drug Store Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GENE ANDERSON DRUG STORE INC.

Practice address

206 South Poplar Street
Elizabethtown, NC 28337

Phone

(910) 862-8411

Fax

(910) 862-8775

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Eugene Gibson Anderson, RPH

Title

Owner

Phone

(910) 862-8411

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• GENE ANDERSON DRUG STORE Other name

Practitioners 1

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

• Genese Anderson Peed, PHARM D

  • Pharmacist
  • Elizabethtown, NC
  • NPI 1336618602
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271376000000",
    "number": "1114039260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1749",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283371749",
            "telephone_number": "910-862-8411",
            "fax_number": "910-862-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 SOUTH POPLAR STREET",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "28337",
            "telephone_number": "910-862-8411",
            "fax_number": "910-862-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENE ANDERSON DRUG STORE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-04-16",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "GIBSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-862-8411",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "1114039260",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0095208",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7700957",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GENE ANDERSON DRUG STORE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Community/Retail Pharmacy in Elizabethtown, NC
• Providers in Elizabethtown, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; 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.