Active NPI
Valley Discount Pharmacy Incorporated
- Pharmacy
- Fayetteville, NC
National Provider Identifier
1417336686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 22109
- Legal business name
- VALLEY DISCOUNT PHARMACY INCORPORATED
- Practice address
- 317 Owen Dr
Fayetteville, NC 28304-3429 - Phone
- (910) 630-6653
- NPI assigned
- May 21, 2015
- Last updated
- Sep 1, 2022
- 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
- Anozie Nebolisa
- Title
- President
- Phone
- (910) 286-5905
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | 22109 | NC | Primary |
Addresses
Primary practice location
317 Owen Dr
Fayetteville, NC 28304-3429
Mailing address
1854 Geiberger Dr
Fayetteville, NC 28303-6224
Phone (910) 630-6653
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Pharmacist
- Spring Lake, NC
- NPI 1245512615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432166400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661990400000",
"number": "1417336686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1854 GEIBERGER DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283036224",
"telephone_number": "910-630-6653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 OWEN DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043429",
"telephone_number": "910-630-6653"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY DISCOUNT PHARMACY INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-21",
"last_updated": "2022-09-01",
"certification_date": "2022-09-01",
"status": "A",
"authorized_official_last_name": "NEBOLISA",
"authorized_official_first_name": "ANOZIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "910-286-5905"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NC",
"license": "22109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.