Andersons Drug Store LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ANDERSONS DRUG STORE LLC

Practice address

206 S. Poplar St.
Elizabethtown, NC 28337

Phone

(910) 862-8411

Fax

(910) 862-8775

NPI assigned

Feb 6, 2019

Last updated

May 2, 2019By 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

Genese Anderson Peed, PHARM DNPI 1336618602

Title

Pharmacist/Owner

Phone

(910) 862-8411

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

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.

• Genese Anderson Peed, PHARM D

  • Pharmacist
  • Elizabethtown, NC
  • NPI 1336618602
  Authorized official Same address or phone

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1255896015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283370730",
            "telephone_number": "910-862-8411",
            "fax_number": "910-862-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S. POPLAR ST.",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "28337",
            "telephone_number": "910-862-8411",
            "fax_number": "910-862-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSONS DRUG STORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "PEED",
        "authorized_official_first_name": "GENESE",
        "authorized_official_middle_name": "ANDERSON",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "910-862-8411",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stephanie B Alper, OTR
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• Richmond K Asante, PHARMACIST
• Megan Atkinson, MS, CCC-SLP
• Amanda Denise Baker, COTA/L
• Bassem Barsoum
• Sueellen Baute

• Community/Retail Pharmacy in Elizabethtown, NC
• Providers in Elizabethtown, 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 May 2, 2019; 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.