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

Organization subpart

No

Name

Dr. Dawn Brisson Howard

Title

Assistant Manager

Phone

(910) 323-4555

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 4, 2011.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0265652",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Stedman, NC
• 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.