NPIMap

Organization Active NPI

Angier Discount Drug of NC LLC

Doing business as Angier Discount Drug

  • Community/Retail Pharmacy
  • Angier, NC
National Provider Identifier
1174847636
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
10560 Issued in NC
Legal business name
ANGIER DISCOUNT DRUG OF NC LLC
Doing business as
Angier Discount Drug
Practice address
253 N Raliegh Street
Angier, NC 27501
Phone
(919) 639-9623
Fax
(919) 639-9670
NPI assigned
Mar 26, 2010
Last updated
Jul 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Authorized official

Name
Ryan WilliamsNPI 1518293141
Title
President
Phone
(910) 591-8709

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 10560 NC Primary

Addresses

Primary practice location

253 N Raliegh Street
Angier, NC 27501

Mailing address

PO Box 1837
Angier, NC 27501-1837
Phone (919) 639-9623

Other identifiers 1

IdentifierTypeStateIssuer
3419478OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Angier Discount Drug Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1174847636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1837",
            "city": "ANGIER",
            "state": "NC",
            "postal_code": "275011837",
            "telephone_number": "919-639-9623",
            "fax_number": "919-639-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 N RALIEGH STREET",
            "city": "ANGIER",
            "state": "NC",
            "postal_code": "27501",
            "telephone_number": "919-639-9623",
            "fax_number": "919-639-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGIER DISCOUNT DRUG OF NC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-591-8709"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "10560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3419478",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angier Discount Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Angier, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.