Realo Discount Drug Stores of Johnston County, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

10270 Issued in NC

Legal business name

REALO DISCOUNT DRUG STORES OF JOHNSTON COUNTY, INC

Doing business as

Realo Discount Drugs

Practice address

601 N 8TH St
Suite D
Smithfield, NC 27577-4119

Phone

(919) 934-2111

Fax

(919) 934-2814

NPI assigned

Dec 15, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell J Lequire, PHARMD.NPI 1730241886

Title

Pharmacist-Manager

Phone

(919) 934-2111

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Realo Discount Drugs Doing business as

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

Tax ID family

Realo Discount Drug Stores of Johnston County Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Realo Discount Drug Stores of Johnston County, Inc

  • Long Term Care Pharmacy
  • Smithfield, NC
  • NPI 1346044039
  NPD tax ID

Practitioners 2

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.

• Mitchell Lequire, PHARMD.

  • Pharmacist
  • Smithfield, NC
  • NPI 1730241886
  Authorized official Same address or phone
• Laura McArthur Brewer

  • Pharmacist
  • Benson, NC
  • NPI 1508600339
  NPD

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1154483220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N 8TH ST",
            "address_2": "SUITE D",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774119",
            "telephone_number": "919-934-2111",
            "fax_number": "919-934-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N 8TH ST",
            "address_2": "SUITE D",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774119",
            "telephone_number": "919-934-2111",
            "fax_number": "919-934-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REALO DISCOUNT DRUG STORES OF JOHNSTON COUNTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "LEQUIRE",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHARMACIST-MANAGER",
        "authorized_official_telephone_number": "919-934-2111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "10270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0515652",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3411080",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Realo Discount Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Danielle Rakes, PA-C
• Virginia Ramos, CCC-SLP
• James Randolf Jr.
• RDMG Associates PA (Horizon Family Medicine)
• Reaching Your Goals
• Realo Discount Drug Stores of Johnston County, Inc
• Felicia Sutton Reaves, LCAS-A
• Relax Renew Rejuvenate LLC
• Restoration Family Services, Inc.
• Restoration Family Services, Inc.

• Community/Retail Pharmacy in Smithfield, NC
• Providers in Smithfield, 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 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.