Community Pharmacy of Lincolnton LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

05910 Issued in NC

Legal business name

COMMUNITY PHARMACY OF LINCOLNTON LLC

Doing business as

the drug Store

Practice address

626 Center Dr
Lincolnton, NC 28092-3712

Phone

(704) 735-2556

Fax

(704) 735-9045

NPI assigned

Jul 20, 2006

Last updated

Dec 19, 2016By 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. Kenneth A Long

Title

Manager

Phone

(704) 735-2556

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• the drug Store Doing business as

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1437179892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 CENTER DRIVE",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923712",
            "telephone_number": "704-735-2556",
            "fax_number": "704-735-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 CENTER DR",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923712",
            "telephone_number": "704-735-2556",
            "fax_number": "704-735-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PHARMACY OF LINCOLNTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-735-2556",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NC",
            "license": "05910",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "05910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7701534",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "the drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tarah Coleman, DDS
• Collier Family Medical, PLLC
• Amanda Kay Collier, FNP
• Beverly C Collins, CRNA
• Community Connection Services
• Community Pharmacy of Lincolnton LLC (The Drug Store - Lincolnton)
• Community Pharmacy of Lincolnton, LLC
• Comprehab Inc
• Comserv, Inc.
• Joshua Coogler

• Community/Retail Pharmacy in Lincolnton, NC
• Providers in Lincolnton, 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 Dec 19, 2016; 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.