Stedman Drug Center, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

04621 Issued in NC

Legal business name

STEDMAN DRUG CENTER, INC

Practice address

7445 Clinton Rd
Stedman, NC 28391-8901

Phone

(910) 323-4555

Fax

(910) 483-0515

NPI assigned

May 4, 2011

Last updated

May 4, 2011By 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

Dr. Dawn Brisson Howard

Title

Assistant Manager

Phone

(910) 323-4555

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1306138755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 625",
            "city": "STEDMAN",
            "state": "NC",
            "postal_code": "283910625",
            "telephone_number": "910-323-4555",
            "fax_number": "910-483-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7445 CLINTON RD",
            "city": "STEDMAN",
            "state": "NC",
            "postal_code": "283918901",
            "telephone_number": "910-323-4555",
            "fax_number": "910-483-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEDMAN DRUG CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "BRISSON",
        "authorized_official_title_or_position": "ASSISTANT MANAGER",
        "authorized_official_telephone_number": "910-323-4555",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "04621",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "04621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stedman Family Clinic, PLLC
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• Stedman Wade Health Services, Inc (Stedman Family Dental Center)
• Stacey Couey Tyndall, CCC-SLP
• Sydney Rebecca White, PHARMD

• Community/Retail Pharmacy in Stedman, NC
• Providers in Stedman, 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 4, 2011; 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.