Organization Active NPI

Minton RX Inc

  • Community/Retail Pharmacy
  • Ahoskie, NC
National Provider Identifier
1366411050
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
13018 Issued in NC
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

Updated by the provider on Mar 16, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1366411050MedicaidNC

Other names 1

  • Mizelle's Discount Drug Co Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.