NPIMap

Organization Active NPI

Mast Drug Co. Inc

  • Pharmacy
  • Henderson, NC
National Provider Identifier
1376965889
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
05626 Issued in NC
Legal business name
MAST DRUG CO. INC
Practice address
1910 Ross Mill Rd
Henderson, NC 27537-8789
Phone
(252) 438-3112
Fax
(252) 492-4096
NPI assigned
Jan 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Polly D. Beal
Title
Adm MGR
Phone
(252) 438-3112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 05626 NC Primary

Addresses

Primary practice location

1910 Ross Mill Rd
Henderson, NC 27537-8789

Mailing address

1910 Ross Mill Rd
Henderson, NC 27537-8789
Phone (252) 438-3112

Other names 1

  • Mast Drug DME Other name

National Provider Directory

National Provider Directory
Tax ID family
Mast Drug Co Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389916800000",
    "number": "1376965889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 ROSS MILL RD",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275378789",
            "telephone_number": "252-438-3112",
            "fax_number": "252-492-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 ROSS MILL RD",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275378789",
            "telephone_number": "252-438-3112",
            "fax_number": "252-492-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAST DRUG CO. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-17",
        "last_updated": "2014-01-17",
        "status": "A",
        "authorized_official_last_name": "BEAL",
        "authorized_official_first_name": "POLLY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ADM MGR",
        "authorized_official_telephone_number": "252-438-3112",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "05626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mast Drug DME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; 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.