Organization Active NPI

Morganton Drug, Inc.

  • Community/Retail Pharmacy
  • Morganton, NC
National Provider Identifier
1114064276
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
11079 Issued in NC
Legal business name
MORGANTON DRUG, INC.
Practice address
500 S Sterling St
Morganton, NC 28655-3573
Phone
(828) 433-6353
Fax
(828) 433-4457
NPI assigned
Jan 30, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Joshua P Haney, PHARMDNPI 1275836843
Title
Owner
Phone
(828) 433-6353

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
Community/Retail Pharmacy 3336C0003X 11079 NC Primary

Addresses

Primary practice location

500 S Sterling St
Morganton, NC 28655-3573

Mailing address

500 S Sterling St
Morganton, NC 28655-3573
Phone (828) 433-6353

Other identifiers 3

IdentifierTypeStateIssuer
0125593MedicaidNC
3419240OtherNCPDP
11079OtherNCNCBOP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141031001370 NC Part B Supplier - Mass Immunization (Roster Biller Only) 3779743885 Practice locations: Morganton, NC

National Provider Directory

National Provider Directory

Locations

105 Bouchelle St
Morganton, NC 28655
Phone (828) 245-0202

500 S Sterling St
Morganton, NC 28655
Phone (828) 433-6353

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1114064276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S STERLING ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553573",
            "telephone_number": "828-433-6353",
            "fax_number": "828-433-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S STERLING ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553573",
            "telephone_number": "828-433-6353",
            "fax_number": "828-433-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGANTON DRUG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HANEY",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-433-6353",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "11079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0125593",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3419240",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBOP",
            "identifier": "11079",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.