NPIMap

Organization Active NPI

Hudson Discount Drug Inc

Doing business as College Discount Drug

  • Community/Retail Pharmacy
  • Rutherford College, NC
National Provider Identifier
1295955417
Registry record updated Jun 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
8246 Issued in NC
Legal business name
HUDSON DISCOUNT DRUG INC
Doing business as
College Discount Drug
Practice address
721 Malcolm Blvd
Rutherford College, NC 28638
Phone
(828) 874-5100
Fax
(828) 874-2843
NPI assigned
Apr 27, 2007
Last updated
Jun 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2009

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

Authorized official

Name
Johnathan Reece, RPH
Title
President
Phone
(828) 728-3561

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 8246 NC Primary
Home Infusion Therapy Pharmacy 3336H0001X
Long Term Care Pharmacy 3336L0003X
Specialty Pharmacy 3336S0011X
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

721 Malcolm Blvd
Rutherford College, NC 28638

Mailing address

721 Malcolm Blvd
Rutherford College, NC 28638
Phone (828) 874-5100

Other identifiers 2

IdentifierTypeStateIssuer
0125550MedicaidNC
3440586OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • COLLEGE DISCOUNT DRUG Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Health Options Vital Care10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1295955417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 MALCOLM BLVD",
            "city": "RUTHERFORD COLLEGE",
            "state": "NC",
            "postal_code": "28638",
            "telephone_number": "828-874-5100",
            "fax_number": "828-874-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 MALCOLM BLVD",
            "city": "RUTHERFORD COLLEGE",
            "state": "NC",
            "postal_code": "28638",
            "telephone_number": "828-874-5100",
            "fax_number": "828-874-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON DISCOUNT DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "REECE",
        "authorized_official_first_name": "JOHNATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-728-3561",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "8246",
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0125550",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3440586",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLLEGE DISCOUNT DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rutherford College, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; 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.