Organization Active NPI

Sentry Drug Center 11 Inc

  • Community/Retail Pharmacy
  • Lincolnton, NC
National Provider Identifier
1265873863
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
02894 Issued in NC
Legal business name
SENTRY DRUG CENTER 11 INC
Practice address
2622 E Main St
Lincolnton, NC 28092-4319
Phone
(704) 735-2551
Fax
(704) 735-6222
NPI assigned
Jul 11, 2013
Last updated
Dec 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Authorized official

Name
Todd Eugene PiggNPI 1891056156
Title
Owner/RPH
Phone
(704) 735-2551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 02894 NC Primary

Addresses

Primary practice location

2622 E Main St
Lincolnton, NC 28092-4319

Mailing address

2622 E Main St
Lincolnton, NC 28092-4319
Phone (704) 735-2551

Other identifiers 1

IdentifierTypeStateIssuer
0555400MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Sentry Drug Center 11 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.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1265873863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2622 E MAIN ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280924319",
            "telephone_number": "704-735-2551",
            "fax_number": "704-735-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2622 E MAIN ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280924319",
            "telephone_number": "704-735-2551",
            "fax_number": "704-735-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTRY DRUG CENTER 11 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "PIGG",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER/RPH",
        "authorized_official_telephone_number": "704-735-2551"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "02894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0555400",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.