Realo Discount Drug Stores of Greene Co., Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

10514 Issued in NC

Legal business name

REALO DISCOUNT DRUG STORES OF GREENE CO., INC

Doing business as

Realo Discount Drug

Practice address

104 Parkwood Dr
Snow Hill, NC 28580-1336

Phone

(252) 747-7004

Fax

(252) 747-1029

NPI assigned

Apr 6, 2010

Last updated

Aug 18, 2014By 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

William Robert Bizzell, RPH

Title

President

Phone

(252) 527-1081

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• REALO DISCOUNT DRUG Doing business as

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Realo Discount Drug2 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 Store of Greene Co Inc

  • Pharmacy
  • Snow Hill, NC
  • NPI 1306110978
  NPD tax ID

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1184949810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PARKWOOD DR",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285801336",
            "telephone_number": "252-747-7004",
            "fax_number": "252-747-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PARKWOOD DR",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285801336",
            "telephone_number": "252-747-7004",
            "fax_number": "252-747-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REALO DISCOUNT DRUG STORES OF GREENE CO., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "BIZZELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-527-1081",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": "10514",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "10514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0405084",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7705264",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REALO DISCOUNT DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Labeebah Pridgen
• Nancy Purvis
• Bethany Ramsey
• Alexis Rea
• Realo Discount Drug Store of Greene Co Inc
• Realo Discount Drugs
• Rendon Health Care
• Restorative Care Services, LLC
• Ribbons in the Sky Behavioral Health
• River Neuse Group, LLC (Greendale Forest Nursing and Rehabilitation Center)

• Community/Retail Pharmacy in Snow Hill, NC
• Providers in Snow Hill, 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 Aug 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.