Charleys Drugs & Sundries Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

00984 Issued in NC

Legal business name

CHARLEYS DRUGS & SUNDRIES INC

Practice address

125 W Central Ave
Mount Holly, NC 28120-1616

Phone

(704) 827-2211

Fax

(704) 827-7134

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Steven Painter, RPH

Title

Sec-Treas

Phone

(704) 827-2211

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CHARLIE'S DRUG & SUNDRIES, INC. Doing business as

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1275601411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W CENTRAL AVE",
            "city": "MOUNT HOLLY",
            "state": "NC",
            "postal_code": "281201616",
            "telephone_number": "704-827-2211",
            "fax_number": "704-827-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W CENTRAL AVE",
            "city": "MOUNT HOLLY",
            "state": "NC",
            "postal_code": "281201616",
            "telephone_number": "704-827-2211",
            "fax_number": "704-827-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLEYS DRUGS & SUNDRIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "PAINTER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "SEC-TREAS",
        "authorized_official_telephone_number": "704-827-2211",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "00984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0365148",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2066534",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHARLIE'S DRUG & SUNDRIES, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Mount Holly, NC
• Providers in Mount Holly, 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 Nov 10, 2016; 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.