Organization Active NPI

Realo Discount Drug Stores Inc

Doing business as Realo Discount Drugs of Trenton

  • Community/Retail Pharmacy
  • Trenton, NC
National Provider Identifier
1235158213
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5952 Issued in NC
Legal business name
REALO DISCOUNT DRUG STORES INC
Doing business as
Realo Discount Drugs of Trenton
Practice address
125 W Jones St
Trenton, NC 28585-7599
Phone
(252) 448-2901
Fax
(252) 448-1100
NPI assigned
Jul 19, 2006
Last updated
Feb 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Authorized official

Name
Dr. Paige H Killingsworth, PHARM.D., R.PH.
Title
Pharmacist Manager
Phone
(252) 448-2901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5952 NC Primary

Addresses

Primary practice location

125 W Jones St
Trenton, NC 28585-7599

Mailing address

125 W Jones St
Trenton, NC 28585-7599
Phone (252) 448-2901

Other identifiers 2

IdentifierTypeStateIssuer
0255596MedicaidNC
7701571MedicaidNC

Other names 1

  • Realo Discount Drugs of Trenton Doing business as

National Provider Directory

National Provider Directory

Locations

125 W Jones St
Trenton, NC 28585
Phone (252) 448-2901

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": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1235158213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W JONES ST",
            "city": "TRENTON",
            "state": "NC",
            "postal_code": "285857599",
            "telephone_number": "252-448-2901",
            "fax_number": "252-448-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W JONES ST",
            "city": "TRENTON",
            "state": "NC",
            "postal_code": "285857599",
            "telephone_number": "252-448-2901",
            "fax_number": "252-448-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REALO DISCOUNT DRUG STORES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "KILLINGSWORTH",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHARMACIST MANAGER",
        "authorized_official_telephone_number": "252-448-2901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D., R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "5952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0255596",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7701571",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Realo Discount Drugs of Trenton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trenton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.