Active NPI
Sentry Drug Center 11
- Community/Retail Pharmacy
- Lincolnton, NC
National Provider Identifier
1356375273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 02894
- Legal business name
- SENTRY DRUG CENTER 11
- Practice address
- 2622 E Main St
Lincolnton, NC 28092-4319 - Phone
- (704) 735-2551
- Fax
- (704) 735-6222
- NPI assigned
- Jul 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Todd E. Pigg, RPH, CFO
- Title
- RPH Manager
- Phone
- (704) 735-2551
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 02894 | NC | Primary |
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
2622 E Main St
Lincolnton, NC 28092-4319
Mailing address
2622 E Main St
Lincolnton, NC 28092-4319
Phone (704) 735-2551
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0555400 | Medicaid | NC | |
| 7703524 | Medicaid | NC | |
| 555102 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100212000584 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 0244374387 | Practice locations: Lincolnton, NC |
| O20100930042962 | NC | DME Supplier - Pharmacy | 0244374387 | Practice locations: Lincolnton, NC |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761523200000",
"number": "1356375273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2622 E MAIN ST",
"city": "LINCOLNTON",
"state": "NC",
"postal_code": "280924319",
"telephone_number": "704-735-2551",
"fax_number": "704-735-6222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2622 E MAIN ST",
"city": "LINCOLNTON",
"state": "NC",
"postal_code": "280924319",
"telephone_number": "704-735-2551",
"fax_number": "704-735-6222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENTRY DRUG CENTER 11",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A",
"authorized_official_last_name": "PIGG",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "RPH MANAGER",
"authorized_official_telephone_number": "704-735-2551",
"authorized_official_credential": "RPH, CFO"
},
"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": "02894",
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0555400",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7703524",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "555102",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincolnton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.