Mt Airy Drug Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

08106 Issued in NC

Legal business name

MT AIRY DRUG INC

Practice address

701 West Pine St
Suite 500
Mt Airy, NC 27030

Phone

(336) 786-5506

Fax

(336) 786-6867

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Travis Scott Hall, RPHNPI 1568532695

Title

President Pharmacist

Phone

(336) 786-5506

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

Locations

Practitioners 3

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

• Travis Scott Hall, RPH

  • Pharmacist
  • Statesville, NC
  • NPI 1568532695
  NPD Authorized official
• Johnny Lynn Cox, PHARMD

  • Pharmacist
  • Mount Airy, NC
  • NPI 1356317606
  NPD
• Kirsten Royster, PHARM.D.

  • Pharmacist
  • Mount Airy, NC
  • NPI 1528474749
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1225138118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 WEST PINE ST",
            "address_2": "SUITE 500",
            "city": "MT AIRY",
            "state": "NC",
            "postal_code": "27030",
            "telephone_number": "336-786-5506",
            "fax_number": "336-786-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 WEST PINE ST",
            "address_2": "SUITE 500",
            "city": "MT AIRY",
            "state": "NC",
            "postal_code": "27030",
            "telephone_number": "336-786-5506",
            "fax_number": "336-786-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT AIRY DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT PHARMACIST",
        "authorized_official_telephone_number": "336-786-5506",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "08106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0865627",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara Grace Morgan
• Sean Patrick Morrow, PHARMD
• Amy Grace Moser, PHARMD
• Mount Airy City Schools
• Mount Airy Emergency Physicians, PLLC
• Mt Airy Foot and Ankle Center PLLC
• Mt Airy OB GYN Center, Inc
• Mt Airy Therapy & Consulting Services, PLLC
• Mt. Airy Dialysis Center of Wake Forest University
• Mt. Airy Opco, LLC

• Pharmacy in Mt Airy, NC
• Providers in Mt Airy, NC by specialty
• Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.