Active NPI
Barrett & Tanner, Inc.
- Community/Retail Pharmacy
- Denton, NC
National Provider Identifier
1427166149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 04903
- Legal business name
- BARRETT & TANNER, INC.
- Practice address
- 17941 S NC Highway 109
Denton, NC 27239-6533 - Phone
- (336) 859-2191
- Fax
- (336) 859-2192
- NPI assigned
- Aug 25, 2006
- 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
- Dr. Delora Cranford Griffin, PHARM.D.
- Title
- Pharmacist
- Phone
- (336) 963-1035
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 |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 04903 | NC | |
| Community/Retail Pharmacy | 3336C0003X | 04903 | NC | Primary |
Addresses
Primary practice location
17941 S NC Highway 109
Denton, NC 27239-6533
Mailing address
17941 S Hwy 109
Denton, NC 27239
Phone (336) 859-2191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7700226 | Medicaid | NC |
Other names 1
- Denton Drug Store
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130726000668 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 3779600705 | Practice locations: Denton, NC |
National Provider Directory
National Provider DirectoryLocations
17941 S NC Highway 109
Denton, NC 27239
Phone (336) 859-2191
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Denton, NC
- NPI 1033079819
-
- Pharmacist
- Denton, NC
- NPI 1730049438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706572800000",
"number": "1427166149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17941 S HWY 109",
"city": "DENTON",
"state": "NC",
"postal_code": "27239",
"telephone_number": "336-859-2191",
"fax_number": "336-859-2192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17941 S NC HIGHWAY 109",
"city": "DENTON",
"state": "NC",
"postal_code": "272396533",
"telephone_number": "336-859-2191",
"fax_number": "336-859-2192"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARRETT & TANNER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-25",
"last_updated": "2024-01-30",
"certification_date": "2020-12-30",
"status": "A",
"authorized_official_last_name": "GRIFFIN",
"authorized_official_first_name": "DELORA",
"authorized_official_middle_name": "CRANFORD",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "336-963-1035",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM.D."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NC",
"license": "04903",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NC",
"license": "04903",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7700226",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Denton Drug Store",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Denton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.