Active NPI
Foster Drug of Mocksville
- Community/Retail Pharmacy
- Mocksville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- FOSTER DRUG OF MOCKSVILLE
- Practice address
- 495 Valley Rd
Mocksville, NC 27028-2074 - Phone
- (336) 751-2141
- Fax
- (336) 751-7974
- NPI assigned
- Dec 28, 2006
- Last updated
- Jul 14, 2020
- 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
- Thomas Beam
- Title
- Managing Member
- Phone
- (336) 751-2141
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
495 Valley Rd
Mocksville, NC 27028-2074
Mailing address
495 Valley Rd
Mocksville, NC 27028-2074
Phone (336) 751-2141
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2067876 | Other | PK | |
| 1386700268 | 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 |
|---|---|---|---|---|
| O20200731002617 | NC | DME Supplier - Pharmacy | 3173948569 | Practice locations: Mocksville, NC |
| O20200806003444 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 3173948569 | Practice locations: Mocksville, NC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Foster Drug of Mocksville | Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Ostomy Supplies|Urological Supplies|Nebulizer Equipment and/or Supplies | Accepts assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Gaffney, SC
- NPI 1982126066
-
- Pharmacist
- Mocksville, NC
- NPI 1477943355
-
- Pharmacist
- Mocksville, NC
- NPI 1467846469
-
- Pharmacist
- Mocksville, NC
- NPI 1518433937
-
- Pharmacist
- Mocksville, NC
- NPI 1447645981
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Winston Salem, NC
- NPI 1124412135
-
- Pharmacist
- Mocksville, NC
- NPI 1366836678
-
- Pharmacist
- Mocksville, NC
- NPI 1578957577
-
- Pharmacist
- Mocksville, NC
- NPI 1558756478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594684800000",
"number": "1386700268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "495 VALLEY RD",
"city": "MOCKSVILLE",
"state": "NC",
"postal_code": "270282074",
"telephone_number": "336-751-2141",
"fax_number": "336-751-7974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "495 VALLEY RD",
"city": "MOCKSVILLE",
"state": "NC",
"postal_code": "270282074",
"telephone_number": "336-751-2141",
"fax_number": "336-751-7974"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOSTER DRUG OF MOCKSVILLE",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-28",
"last_updated": "2020-07-14",
"certification_date": "2020-07-14",
"status": "A",
"authorized_official_last_name": "BEAM",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "336-751-2141"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2067876",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1386700268",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mocksville, NC
- Julie Wimmer File, PA-C
- Kenneth Lee Flinchum, DPT
- Katie Anne Forbes, M.S., LCMHC
- Forsyth Memorial Hospital Inc (Novant Health Davie Medical Associates)
- Foster Drug Co Inc
- Foundation Health Systems Corp. (Edwin H. Martinat Comprehensive Outpatient Rehabilitation Center)
- Elizabeth Joy Fox, FNP
- Lori Fraley, PHARMD
- Jason Michael Frost, LCMHC-A, LCAS-A
- Brittany Jordan Fryer, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.