Active NPI
Minton RX Inc
- Community/Retail Pharmacy
- Ahoskie, NC
National Provider Identifier
1366411050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 13018
- Legal business name
- MINTON RX INC
- Doing business as
- Mizelle's Discount Drug Co
- Practice address
- 925 Memorial Dr E
Ahoskie, NC 27910-3915 - Phone
- (252) 332-3444
- Fax
- (252) 332-6369
- NPI assigned
- Mar 15, 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
- Arthur H Minton, RPH
- Title
- Owner
- Phone
- (919) 423-6638
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 13018 | NC | Primary |
Addresses
Primary practice location
925 Memorial Dr E
Ahoskie, NC 27910-3915
Mailing address
900 S Franklin St
Suite 106
Wake Forest, NC 27587-2799
Phone (919) 556-2757
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366411050 | Medicaid | NC |
Other names 1
- Mizelle's Discount Drug Co
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170510000716 | NC | DME Supplier - Pharmacy | 5799062238 | Practice locations: Ahoskie, NC |
| O20170629001201 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 5799062238 | Practice locations: Ahoskie, NC |
National Provider Directory
National Provider DirectoryLocations
925 Memorial Dr E
Ahoskie, NC 27910
Phone (252) 332-3444
900 S Franklin St
Ste 106
Wake Forest, NC 27587
Phone (919) 761-5150
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Ahoskie, NC
- NPI 1073104410
-
- Pharmacist
- Ahoskie, NC
- NPI 1932623956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647388800000",
"number": "1366411050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 S FRANKLIN ST",
"address_2": "SUITE 106",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275872799",
"telephone_number": "919-556-2757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 MEMORIAL DR E",
"city": "AHOSKIE",
"state": "NC",
"postal_code": "279103915",
"telephone_number": "252-332-3444",
"fax_number": "252-332-6369"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINTON RX INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-15",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A",
"authorized_official_last_name": "MINTON",
"authorized_official_first_name": "ARTHUR",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-423-6638",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NC",
"license": "13018",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1366411050",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mizelle's Discount Drug Co",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ahoskie, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.