Koonce Drug Company, Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

KOONCE DRUG COMPANY, INC

Practice address

112 E 7TH Ave
Chadbourn, NC 28431-1402

Phone

(910) 654-4194

Fax

(910) 653-4915

NPI assigned

Oct 26, 2022

Last updated

Oct 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sterling Grady KoonceNPI 1841882552

Title

Owner

Phone

(910) 653-6804

Specialties & licenses 1

Addresses

Tax ID family

Tabor City Medicine Mart2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Koonce Drug Company, Inc

  • Community/Retail Pharmacy
  • Chadbourn, NC
  • NPI 1003923673
  NPD tax ID

Practitioners 1

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.

• Sterling Grady Koonce, RPH

  • Pharmacist
  • Tabor City, NC
  • NPI 1841882552
  NPD (past) Authorized official

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1396462677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580",
            "city": "TABOR CITY",
            "state": "NC",
            "postal_code": "284630580",
            "telephone_number": "910-653-6804",
            "fax_number": "910-653-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E 7TH AVE",
            "city": "CHADBOURN",
            "state": "NC",
            "postal_code": "284311402",
            "telephone_number": "910-654-4194",
            "fax_number": "910-653-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOONCE DRUG COMPANY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "KOONCE",
        "authorized_official_first_name": "STERLING",
        "authorized_official_middle_name": "GRADY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-653-6804"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela F Johnson, FNP
• Kysheanna Renee Jordan
• Kerr Drug Inc (Kerr Drug)
• Klondyke-Chadbourn Volunteer Fire & Rescue Inc.
• Koonce Drug Company, Inc
• Kyle J Roth 5, DDS, PA
• Le' Chris Health Systems of Wilmington, Inc.
• Life Enhancement Services LLC
• Thomas Maloney, RPH
• Andre Maurice McAllister, LCAS-A

• Long Term Care Pharmacy in Chadbourn, NC
• Providers in Chadbourn, NC by specialty
• Long Term Care Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.