Organization Active NPI

Realo Discount Drugs of Onslow, Inc

  • Community/Retail Pharmacy
  • Jacksonville, NC
National Provider Identifier
1386943785
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
10988 Issued in NC
Legal business name
REALO DISCOUNT DRUGS OF ONSLOW, INC
Practice address
835 Piney Green Rd
Suite 400
Jacksonville, NC 28546-8568
Phone
(910) 219-3550
Fax
(910) 219-3554
NPI assigned
Mar 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Authorized official

Name
Mr. Robert Joesph McLaughlin Jr., RPH
Title
President
Phone
(252) 639-9006

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 6431660002 NC
Oxygen Equipment & Supplies (DME) 332BX2000X 6431660002 NC
Community/Retail Pharmacy 3336C0003X 10988 NC Primary

Addresses

Primary practice location

835 Piney Green Rd
Suite 400
Jacksonville, NC 28546-8568

Mailing address

1301 Commerce Dr
New Bern, NC 28562-2213
Phone (252) 639-9006

Other identifiers 2

IdentifierTypeStateIssuer
0675760MedicaidNC
10988OtherNCNC BOARD OF PHARMACY

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100818000269 NC Part B Supplier - Mass Immunization (Roster Biller Only) 3476687047 1 other NPI on this enrollment
Practice locations: Jacksonville, NC
O20140110000156 NC DME Supplier - Pharmacy 3476687047 Practice locations: Jacksonville, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Realo Discount Drugs of Onslow Inc835 Piney Green Rd, Jacksonville, NC 28546-8573(910) 219-3550 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jul 22, 2010

National Provider Directory

National Provider Directory

Locations

835 Piney Green Rd
Ste 400
Jacksonville, NC 28546
Phone (910) 219-3550

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": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1386943785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 COMMERCE DR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622213",
            "telephone_number": "252-639-9006",
            "fax_number": "252-639-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 PINEY GREEN RD",
            "address_2": "SUITE 400",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285468568",
            "telephone_number": "910-219-3550",
            "fax_number": "910-219-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REALO DISCOUNT DRUGS OF ONSLOW, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOESPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-639-9006",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": "6431660002",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NC",
            "license": "6431660002",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "10988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0675760",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF PHARMACY",
            "identifier": "10988",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.

Verify at the official NPI Registry.