China Grove Drug Co., Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5189 Issued in NC

Legal business name

CHINA GROVE DRUG CO., INC.

Practice address

112 S Main St
China Grove, NC 28023-2448

Phone

(704) 857-7951

Fax

(705) 857-1000

NPI assigned

Jun 9, 2006

Last updated

Jun 3, 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

Mr. John A KiserNPI 1073873592

Title

President

Phone

(704) 857-7951

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

Locations

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.

• John A Kiser

  • Pharmacist
  • China Grove, NC
  • NPI 1073873592
  NPD Authorized official

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1427099324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S MAIN ST",
            "city": "CHINA GROVE",
            "state": "NC",
            "postal_code": "280232448",
            "telephone_number": "704-857-7951",
            "fax_number": "705-857-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S MAIN ST",
            "city": "CHINA GROVE",
            "state": "NC",
            "postal_code": "280232448",
            "telephone_number": "704-857-7951",
            "fax_number": "705-857-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINA GROVE DRUG CO., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "KISER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-857-7951",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "5189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cabarrus County Group Homes, Inc.
• Cabarrus Rowan Community Health Centers, Inc. (APHS-China Grove Dental)
• Cabarrus Rowan Community Health Centers, Inc. (APHS-China Grove Family Medicine)
• Carolinas Physicians Network Inc (Cabarrus Family Medicine)
• Nakisha Lachelle Childers, FNP
• Julie A Cole, O.D.
• Cutting Edge Developmental Therapies, LLC
• David L. King (King Eye Center)
• Daymark Recovery Services Inc
• Lavanya Desai, MD

• Community/Retail Pharmacy in China Grove, NC
• Providers in China Grove, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.