Organization Active NPI

Smith's of Gastonia, Inc.

  • Community/Retail Pharmacy
  • Gastonia, NC
National Provider Identifier
1285712398
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
06533 Issued in NC
Legal business name
SMITH'S OF GASTONIA, INC.
Practice address
121 W Main Ave
Gastonia, NC 28052-4154
Phone
(704) 864-2354
Fax
(704) 867-3913
NPI assigned
Nov 2, 2006
Last updated
Apr 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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

Authorized official

Name
Mr. Arnold M Walker, RPHNPI 1720447915
Title
President
Phone
(704) 865-2354

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 06533 NC
Community/Retail Pharmacy 3336C0003X 06533 NC Primary

Addresses

Primary practice location

121 W Main Ave
Gastonia, NC 28052-4154

Mailing address

121 W Main Ave
Gastonia, NC 28052-4154
Phone (704) 864-2354

Other identifiers 2

IdentifierTypeStateIssuer
7701710MedicaidNC
3406469OtherNCBCNS

Other names 1

  • Smith Drugs Other name

National Provider Directory

National Provider Directory

Locations

121 W Main Ave
Gastonia, NC 28052
Phone (704) 864-2354

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": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1285712398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W MAIN AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524154",
            "telephone_number": "704-864-2354",
            "fax_number": "704-867-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W MAIN AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524154",
            "telephone_number": "704-864-2354",
            "fax_number": "704-867-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH'S OF GASTONIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-865-2354",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "06533",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "06533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7701710",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCNS",
            "identifier": "3406469",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smith Drugs",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.