Active NPI
Mitchell'S Discount Drugs, Inc
- Pharmacist
- Eden, NC
National Provider Identifier
1184711020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2447
- Legal business name
- MITCHELL'S DISCOUNT DRUGS, INC
- Practice address
- 641 Washington St
Eden, NC 27288-6137 - Phone
- (336) 623-3136
- Fax
- (336) 623-2218
- NPI assigned
- Oct 10, 2006
- 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
- Susan M Talley
- Title
- Secretary of Corporation
- Phone
- (336) 623-7747
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2447 | NC | Primary |
Addresses
Primary practice location
641 Washington St
Eden, NC 27288-6137
Mailing address
641 Washington St
Eden, NC 27288-6137
Phone (336) 623-3136
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0795302 | Medicaid | NC | |
| 3405671 | Other | NC | NABP |
National Provider Directory
National Provider Directory- Tax ID family
- Mitchell'S Discount Drugs Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Eden, NC
- NPI 1750832655
Locations
641 Washington St
Eden, NC 27288
Phone (336) 623-3136
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Eden, NC
- NPI 1447340708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1184711020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "641 WASHINGTON ST",
"city": "EDEN",
"state": "NC",
"postal_code": "272886137",
"telephone_number": "336-623-3136",
"fax_number": "336-623-2218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "641 WASHINGTON ST",
"city": "EDEN",
"state": "NC",
"postal_code": "272886137",
"telephone_number": "336-623-3136",
"fax_number": "336-623-2218"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MITCHELL'S DISCOUNT DRUGS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TALLEY",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "SECRETARY OF CORPORATION",
"authorized_official_telephone_number": "336-623-7747"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "NC",
"license": "2447",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0795302",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "3405671",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eden, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.