Archdale Drug Co Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

08944 Issued in NC

Legal business name

ARCHDALE DRUG CO INC

Practice address

2401 Hickswood Rd Ste B
High Point, NC 27265-1538

Phone

(336) 454-3784

Fax

(336) 454-3830

NPI assigned

Oct 7, 2006

Organization subpart

No

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

Authorized official

Name

Ryan Hoskins, BS PHARMACYNPI 1699794743

Title

Owner

Phone

(336) 434-2776

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• DEEP RIVER DRUG Doing business as

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Archdale Drug Co Inc

  • Community/Retail Pharmacy
  • Archdale, NC
  • NPI 1467559393

  5496831356

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Archdale Drug Co Inc

  • Community/Retail Pharmacy
  • Archdale, NC
  • NPI 1467559393

  O20080318000774

  Same enrollment

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

Archdale Drug Co 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.

• Archdale Drug Co Inc

  • Community/Retail Pharmacy
  • Archdale, NC
  • NPI 1467559393
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Thomas Hoskins, RPH

  • Pharmacist
  • Archdale, NC
  • NPI 1699794743
  NPD Authorized official
• Carla E Ferrara, RPH

  • Pharmacist
  • High Point, NC
  • NPI 1558515684
  NPD (past)
• Charles Samuel Forrester, PHARM.D.

  • Pharmacist
  • High Point, NC
  • NPI 1548694250
  NPD (past)
• Brian Scott Marks, RPH

  • Pharmacist
  • High Point, NC
  • NPI 1396957072
  NPD (past)
• Lan Kim Truong, PHARMD

  • Pharmacist
  • High Point, NC
  • NPI 1104716802
  NPD (past)

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1215024419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 HICKSWOOD RD STE B",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651538",
            "telephone_number": "336-454-3784",
            "fax_number": "336-454-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 HICKSWOOD RD STE B",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651538",
            "telephone_number": "336-454-3784",
            "fax_number": "336-454-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHDALE DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "HOSKINS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-434-2776",
        "authorized_official_credential": "BS PHARMACY"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "08944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704414",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2067702",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0418165",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEEP RIVER DRUG",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DEEP RIVER DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Phillip Anthony, MA, LPC, NCC
• Benjamin Nnadozie Anyanwu, MD
• Richard Gary Appel, MD
• Rhonda Campbell Apple, PHARM.D
• Mohamed-Omar Arafeh, MD
• Kelsey Archibald, DO
• Udo Uchendu Ariwodo, NP-C
• Ark Chasm Management
• Patrice Mary Arms
• Maelee D Arnold

• Community/Retail Pharmacy in High Point, NC
• Providers in High Point, 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 Oct 23, 2019; 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.