Organization Active NPI

Red Springs Drug Company

  • Pharmacy
  • Red Springs, NC
National Provider Identifier
1255463766
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
03908 Issued in NC
Legal business name
RED SPRINGS DRUG COMPANY
Practice address
114 S Main St
Red Springs, NC 28377-1512
Phone
(910) 843-4431
Fax
(910) 843-3978
NPI assigned
Mar 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. William Tillman Rhodes III, RPH
Title
Pharmacist
Phone
(910) 843-4431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 03908 NC Primary

Addresses

Primary practice location

114 S Main St
Red Springs, NC 28377-1512

Mailing address

114 S Main St
Red Springs, NC 28377-1512
Phone (910) 843-4431

Other identifiers 1

IdentifierTypeStateIssuer
0785360MedicaidNC

National Provider Directory

National Provider Directory

Locations

114 S Main St
Red Springs, NC 28377
Phone (910) 843-4431

NPI Registry JSON

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255463766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S MAIN ST",
            "city": "RED SPRINGS",
            "state": "NC",
            "postal_code": "283771512",
            "telephone_number": "910-843-4431",
            "fax_number": "910-843-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S MAIN ST",
            "city": "RED SPRINGS",
            "state": "NC",
            "postal_code": "283771512",
            "telephone_number": "910-843-4431",
            "fax_number": "910-843-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED SPRINGS DRUG COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TILLMAN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "910-843-4431",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "03908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0785360",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Springs, 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.

Verify at the official NPI Registry.